Individual
MRS. NINA CASELLA PETRUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00382800
NJ
363A00000X
Physician Assistant
MA057670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0529885
—
NJ
Enumeration date
07/06/2015
Last updated
12/10/2024
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