Raymond Wayne Petrunich in Newark - Oral And Maxillofacial Pathology

Raymond Wayne Petrunich - NPI 1649220526

Raymond Wayne Petrunich is a Oral And Maxillofacial Pathology in Newark, Delaware. Raymond Wayne Petrunich practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Raymond Wayne Petrunich is 1649220526. The last update date is 2017-01-09.

Raymond Wayne Petrunich's current location address is 2444 Pulaski Highway, Newark, Delaware. You can contact this provider via phone number 3028363565 and fax number 3028360868. The mailing address for Raymond Wayne Petrunich is 2444 Pulaski Highway, Newark, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond Wayne Petrunich
Address 2444 Pulaski Highway, Newark, Delaware
Phone Number 3028363565
Fax Number 3028360868
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1649220526
Provider Enumeration Date 2006-05-11
Last Updated Date 2017-01-09

Provider Mailing Address Detail

Address 2444 Pulaski Highway
City Newark
State Delaware (DE)
Post Code 197023906
Phone Number 3028363565
Fax Number 3028360868

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No G1-001136
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14361 DE --

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FAQs about Raymond Wayne Petrunich

What is the unique provider identifier assigned to Raymond Wayne Petrunich?

The Raymond Wayne Petrunich has been issued the NPI (National Provider Identifier) 1649220526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Raymond Wayne Petrunich is geographically located?

The Raymond Wayne Petrunich is physically situated at the following location: 2444 Pulaski Highway, Newark, DE, 197023906.

What is Raymond Wayne Petrunich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Raymond Wayne Petrunich is Oral And Maxillofacial Pathology, and the taxonomy classification code that categorizes this area of expertise is 1223P0106X.

On what date was the 1649220526 assigned to Raymond Wayne Petrunich?

The Raymond Wayne Petrunich was issued its 1649220526 on 2006-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Raymond Wayne Petrunich most recently updated?

The details pertaining to the Raymond Wayne Petrunich, including its address, specialty, and other relevant information, were last refreshed on 2017-01-09.

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