Individual
DR. JENNIFER A PETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PITTSTOWN ROAD, EDNA MAHAN CORRECTIONAL FACILITY FOR WOMEN, CLINTON, NJ 08809
(908) 735-7111
(908) 730-6788
Mailing address
40 PITTSTOWN RD, CLINTON, NJ 08809-1209
(908) 343-1633
(908) 730-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07065200
NJ
Other
Enumeration date
09/11/2006
Last updated
05/17/2019
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