SearchIndianaPlastic and Reconstructive Surgery Physician

Jason Petrungaro, M.D

NPI 1871765057 · on the registry since 2008 · sole proprietor

Practice

Address
800 Macarthur Blvd
Suite 21
Munster, IN 46321
Phone
(219) 836-1163
Fax
(844) 270-6677
Organisation at this address
Celamar Corp Llc
Fairmeadows Pharmacy
Fred Adler, M.D., P.C.
Richard J Peach Od Inc
Paulino Y. Chan, Md, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Plastic and Reconstructive Surgery Physician
2086S0122X
Also registered as
Plastic and Reconstructive Surgery Physician
Licence states on file
TX, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana