Michael Roman Petronko in Springfield - Clinical
Michael Roman Petronko - NPI 1851553028
Michael Roman Petronko is a Clinical in Springfield, New Jersey. Michael Roman Petronko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Roman Petronko is 1851553028. The last update date is 2008-06-30.
Michael Roman Petronko's current location address is 26 Linden Ave, Springfield, New Jersey. You can contact this provider via phone number 9732581515. The mailing address for Michael Roman Petronko is 26 Linden Ave, Springfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Roman Petronko |
|---|---|
| Address | 26 Linden Ave, Springfield, New Jersey |
| Phone Number | 9732581515 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851553028 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 26 Linden Ave |
|---|---|
| City | Springfield |
| State | New Jersey (NJ) |
| Post Code | 70811834 |
| Phone Number | 9732581515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 950 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Michael Roman Petronko by the Centers for Medicare & Medicaid Services?
The Michael Roman Petronko has been assigned the NPI (National Provider Identifier) 1851553028. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael Roman Petronko is geographically located?
The Michael Roman Petronko is physically situated at the following location: 26 Linden Ave, Springfield, NJ, 70811834.
What is Michael Roman Petronko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Roman Petronko's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Michael Roman Petronko receive its 1851553028 assignment from the Centers for Medicare & Medicaid Services?
The Michael Roman Petronko was assigned its 1851553028 on 2008-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Michael Roman Petronko's details last updated?
The information pertaining to the Michael Roman Petronko, including its address, specialty, and other details, was most recently updated on 2008-06-30.
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