NPI 1518901925

Gregory Blase Persichetti, DO

Practitioner MOHS-Micrographic Surgery Physician Sewell, NJ

Practice location

Address: 100 Kings Way E Suite A-3, Sewell, NJ 08080-2237
Phone: (856) 589-3331
Fax: (856) 589-3416

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 25MB08242000 (NJ)

Other Dermatology providers in New Jersey →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 08012552 (PA)

Registry record

NPI: 1518901925
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 3 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.