Individual
DOROTHY MARY PIETRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 DAVIS AVE, SUITE 4, NEPTUNE, NJ 07753-4483
(732) 776-4551
(732) 776-4392
Mailing address
81 DAVIS AVE, SUITE 4, NEPTUNE, NJ 07753-4483
(732) 776-4551
(732) 776-4392
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA02331600
NJ
Other
Enumeration date
09/21/2005
Last updated
05/18/2015
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