Victoria Anne Petivan in West Trenton - Psychiatry
Victoria Anne Petivan - NPI 1457453383
Victoria Anne Petivan is a Psychiatry in West Trenton, New Jersey. Victoria Anne Petivan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Victoria Anne Petivan is 1457453383. The last update date is 2015-10-12.
Victoria Anne Petivan's current location address is 100 Sullivan Way, West Trenton, New Jersey. You can contact this provider via phone number 6096331502 and fax number 6097770327. The mailing address for Victoria Anne Petivan is 100 Sullivan Way, West Trenton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victoria Anne Petivan |
|---|---|
| Address | 100 Sullivan Way, West Trenton, New Jersey |
| Phone Number | 6096331502 |
| Fax Number | 6097770327 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457453383 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2015-10-12 |
Provider Mailing Address Detail
| Address | 100 Sullivan Way |
|---|---|
| City | West Trenton |
| State | New Jersey (NJ) |
| Post Code | 8628 |
| Phone Number | 6096331502 |
| Fax Number | 6097770327 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MA06516700 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7216203 | NJ | -- |
Post Comment/ Review Below
What is the Victoria Anne Petivan's unique identification number?
The Victoria Anne Petivan has been assigned the NPI (National Provider Identifier) Number 1457453383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Victoria Anne Petivan?
The Victoria Anne Petivan is situated at 100 Sullivan Way, in the city of West Trenton, state of NJ, with the zip code 8628.
What is the area of specialization for Victoria Anne Petivan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Victoria Anne Petivan is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Victoria Anne Petivan receive the assignment of its 1457453383 from the Centers for Medicare & Medicaid Services?
The Victoria Anne Petivan was issued its 1457453383 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the Victoria Anne Petivan's information last updated?
The Victoria Anne Petivan's information was last updated on 2015-10-12.