Edward Petrarca LCSW

NPI 1003986787 - Social Worker - 1041C0700X

NPI Details
NPI 1003986787
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/10/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 BAY AVE
MOUNTAINSIDE HOSPITAL
MONTCLAIR NJ, 07042-4837, US
Phone (973) 429-6813
Fax (973) 680-7715
Business Location
1 BAY AVE
MOUNTAINSIDE HOSPITAL
MONTCLAIR NJ, 07042-4837, US
Phone (973) 429-6000
Fax (973) 680-7715
Toxanomy
Taxonomy Code 1041C0700X
License State New Jersey
License Number 44SC00016500
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According to our database, Edward Petrarca LCSW NPI is 1003986787, taxonomy code is 1041C0700X and license number is 44SC00016500, license state is located at New Jersey. Edward Petrarca LCSW physically located at 1 Bay Ave, Montclair NJ, 07042-4837. NPI Number Edward Petrarca LCSW has the Individual type.

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1003986787 NPI number is provided on an as is basis without warranty of any kind. 1003986787 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Petrarca LCSW are for informational purposes only.