NICHOLAS J PETRIELLA

CRANFORD, NJ
NPI1972855302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NJ  25MP00151500)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
-- NICHOLAS J PETRIELLA PA
198 NORTH AVE E
CRANFORD, NJ 07016-2469
Phone number: 908-967-6124
Mailing Address
-- NICHOLAS J PETRIELLA PA
198 NORTH AVE EAST
CRANFORD, NJ 07016
Phone number: 908-967-6124
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