Individual
DR. VINCENT PETRAZZUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468
(718) 584-9000
(718) 741-4618
Mailing address
673 MABIE ST, NEW MILFORD, NJ 07646-2037
(201) 261-0938
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0311801
NY
1223P0700X
Prosthodontics
22DI01165400
NJ
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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