Individual
STEVEN PIETROFESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2315 HIGHWAY 34 SOUTH, SUITE D, MANASQUAN, NJ 08736-1423
(732) 974-0404
(732) 449-4271
Mailing address
2315 HIGHWAY 34 SOUTH, SUITE D, MANASQUAN, NJ 08736-1423
(732) 974-0404
(732) 449-4271
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000742
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00936761
RR MEDICARE
—
Enumeration date
02/01/2007
Last updated
12/08/2020
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