Organization
TINA M. PETILLO DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M PETILLO D.O. (DOCTOR)
(973) 533-0001
Entity
Organization
Contact information
Practice address
340 E NORTHFIELD RD, SUITE 2E, LIVINGSTON, NJ 07039-4892
(973) 533-0001
(973) 716-0306
Mailing address
340 E NORTHFIELD RD, SUITE 2E, LIVINGSTON, NJ 07039-4892
(973) 533-0001
(973) 716-0306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB04450300
NJ
Other
Enumeration date
04/14/2008
Last updated
03/30/2011
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