NPI | 1346281037 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE PETRACCO Owner/President 201-533-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00495100) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-04-23 |