Individual
DR. MICHAEL ROMAN PETRONKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 LINDEN AVE, SUITE 205-A, SPRINGFIELD, NJ 07081-1834
(973) 258-1515
Mailing address
26 LINDEN AVE, SUITE 205-A, SPRINGFIELD, NJ 07081-1834
(973) 258-1515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
950
NJ
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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