Persichetti, Gregory Blase

Persichetti, Gregory Blase is an individual health care provider with primary practice located at 100 Kings Way E Suite A-3, Sewell NJ 08080-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Persichetti, Gregory Blase can be contacted via phone (856) 589-3331.

Contact Information

Primary practice address
100 Kings Way E Suite A-3 Sewell NJ 08080-2237
Phone: (856) 589-3331
Fax: (856) 589-3416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 25MB08242000 New Jersey
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 08012552 Pennsylvania

Profile Details

NPI number 1518901925
LBN Legal business name Persichetti, Gregory Blase
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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