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Individual

ROMAN PETROCELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
248 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1210
(973) 464-5377
Mailing address
248 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1210
(973) 464-5377

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
37PC00496400
NJ

Other

Enumeration date
04/22/2010
Last updated
03/23/2018
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