Individual
JEROME R. PIETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
570 EGG HARBOR RD, STE A-1, SEWELL, NJ 08080-2359
(856) 582-9645
(856) 218-3030
Mailing address
570 EGG HARBOR RD, STE A-1, SEWELL, NJ 08080-2359
(856) 582-9645
(856) 218-3030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MB02740200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203770
—
NJ
Enumeration date
06/12/2006
Last updated
05/16/2012
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