Individual
DR. MICHAEL PETETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 FRANK W BURR BLVD # 6, TEANECK, NJ 07666-6839
(201) 304-7552
(978) 506-2457
Mailing address
400 FRANK W BURR BLVD # 6, TEANECK, NJ 07666-6839
(201) 304-7552
(978) 506-2457
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
305453
NY
Other
Enumeration date
05/18/2016
Last updated
06/13/2024
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