| 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 |