Dr. Raymond Wayne Petrunich
Oral and Maxillofacial Pathology
2444 Pulaski Hwy #100
Newark
, Delaware 19702-3906
Dr. Raymond Wayne Petrunich
Oral and Maxillofacial Pathology
2444 Pulaski Hwy #100
Newark
, Delaware 19702-3906
(302) 836-0868
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Raymond Wayne Petrunich
- 2444 Pulaski Highway #100
- Newark, DE
- Zip : 19702-3906
- Fax : (302) 836-0868
- Phone : (302) 836-3565
Second Address
- Dr. Raymond Wayne Petrunich
- 2444 Pulaski Hwy #100
- Newark, DE
- Zip : 19702-3906
- Fax : (302) 836-0868
- Phone : (302) 836-3565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | G1-001136 | DE |
National Provider Identifier
| NPI | 1649220526 |
|---|---|
| Provider Name | Dr. Raymond Wayne Petrunich |
| First Address | Newark, DE 19702-3906 |
| Second Address | Newark, DE 19702-3906 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2006 |
| Last Update Date | 09/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000014361 | (05) | DE |
| U91771 | (02) | DE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.