| Doctor Name: | STEVEN PIETROFESA |
| NPI Number: | 1306984737 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 000742 |
| Business Practice Address: | 2315 Highway 34 South Suite D Manasquan, NJ - 087361423 |
| Business Phone Number: | 7329740404 |
| Business Fax Number: | 7324494271 |
| Mailing Address: | 2315 Highway 34 South, Suite D MANASQUAN |
| State: | NJ |
| Postal Code: | 087361423 |
| Phone Number: | 7329740404 |
| Fax Number: | 7324494271 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 000742 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |