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Individual

DR. RANDALL EUGENE PITONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2038 CARMEL ROAD, MILLVILLE, NJ 08332
(856) 825-6810
(856) 765-0252
Mailing address
2038 CARMEL ROAD, MILLVILLE, NJ 08332
(856) 825-6810
(856) 765-0252

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101058768
VA
2084P0800X
Psychiatry Physician
31033
TN
2084P0802X
Addiction Psychiatry Physician
Primary
25MA07963400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010057299
VA
05
010057345
VA
05
010149673
VA
05
010154618
VA
01
260050527
RAILROAD MEDICARE
01
334969
VALUE OPTIONS
01
351654200
DOL WORKERS COMP
05
3894689
TN
01
4088360
MAGELLAN NAVIGATOR
01
620582605
BEECH STREET
01
620582605028
TRICARE NORTH
Enumeration date
09/11/2006
Last updated
07/21/2011
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