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Individual

DR. ROBERT S PATITUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
70 CORNWELL DR, BRIDGETON, NJ 08302-3602
(856) 455-6770
(856) 455-6030
Mailing address
1138 TERNS LANDING RD, PITTSGROVE, NJ 08318-9178
(856) 455-6770
(856) 455-6030

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04638400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6979700
NJ
Enumeration date
08/09/2005
Last updated
09/21/2020
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