DR. Larry Pettis, M.D.
NPI #1053433276 in Westampton, New Jersey
Provider Information
- NPI Number
- 1053433276
- Entity Type
- Individual
- Name
- DR. Larry Pettis, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 204 DALE RD
- City
- Westampton
- State
- New Jersey
- ZIP Code
- 08060-5516
- Phone
- (609) 265-8204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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