Petti, Theodore A

Petti, Theodore A is an sole proprietor health care provider with primary practice located at 671 Hoes Ln University Behavioral Healthcare Room C-202, Piscataway NJ 08854-5627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Petti, Theodore A can be contacted via phone (732) 235-2129.

Contact Information

Primary practice address
671 Hoes Ln University Behavioral Healthcare Room C-202 Piscataway NJ 08854-5627
Phone: (732) 235-2129
Fax: (732) 235-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 25MA07587000 New Jersey

Profile Details

NPI number 1033170121
LBN Legal business name Petti, Theodore A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Apr 3rd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033170121 NPPES
New Jersey MEDICAID 0013382

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