Individual
DR. CLAUDIA JENNIFER PETACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 E PARK AVE, HADDONFIELD, NJ 08033-1637
(856) 427-4218
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 374-1881
(856) 302-1961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA06406500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7077807
—
NJ
Enumeration date
06/04/2013
Last updated
02/10/2020
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