Individual
KIMBERLY ANN PETROLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 846-4941
Mailing address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 846-4941
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
50625
NJ
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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