Tina M Petillo, DO
Obstetrics & Gynecology in Livingston, NJ. Individual provider (NPI-1).
NPI number1962437244
StatusActive
Last updated in NPPESMar 30, 2011
Details
- NPI
- 1962437244
- Entity type
- Individual (NPI-1)
- Name
- Tina M Petillo
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Mar 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 44503 | NJ | Yes |
Practice location
340 East Northfield RoadSuite 2e
Livingston, NJ 07039-4892
Phone 973-533-0001 · Fax 973-716-0306
Mailing address
340 E Northfield Rd Ste 2eLivingston, NJ 07039-4892
Phone 973-533-0001
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All 35 Obstetrics & Gynecology Physician providers in Livingston · All 2,321 providers in Livingston
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