Petrarca, Edward
Petrarca, Edward is an individual health care provider with primary practice located at 1 Bay Ave Mountainside Hospital, Montclair NJ 07042-4837. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Petrarca, Edward can be contacted via phone (973) 429-6813.Contact Information
Primary practice address
1 Bay Ave Mountainside Hospital
Montclair NJ 07042-4837
Phone: (973) 429-6813
Fax: (973) 680-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00016500 | New Jersey |
Profile Details
| NPI number | 1003986787 |
|---|---|
| LBN Legal business name | Petrarca, Edward |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 10th, 2007 - about 17 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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