Individual
DR. JOHN A PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 LAKEHURST RD, SUITE 101, TOMS RIVER, NJ 08755-8063
(732) 349-8454
(732) 341-0259
Mailing address
530 LAKEHURST RD, SUITE 101, TOMS RIVER, NJ 08755-8063
(732) 349-8454
(732) 341-0259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03308100
NJ
Other
Enumeration date
07/11/2006
Last updated
07/26/2013
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