Individual
DONALD PETROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1113 HOSPITAL DRIVE, SUITE 305, WILLINGBORO, NJ 08046
(609) 835-3624
(609) 835-3628
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA029690
NJ
207R00000X
Internal Medicine Physician
MD012651E
PA
207RG0100X
Gastroenterology Physician
Primary
25MA029690
NJ
207RG0100X
Gastroenterology Physician
MD012651E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123203
—
NJ
Enumeration date
08/24/2005
Last updated
10/26/2020
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