Individual
PAULA D PETROSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
129 CENTRAL AVE, HASBROUCK HEIGHTS, NJ 07604-1306
(201) 314-2415
(239) 394-5033
Mailing address
GULFVIEW CLUB 2204, 58 N COLLIER BLVD, MARCO ISLAND, FL 34145-3711
(201) 314-2415
(239) 394-5033
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01407
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1562401
—
NJ
Enumeration date
01/05/2007
Last updated
07/08/2007
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