| NPI | 1346673639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRAQ XOXE President 215-820-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: NJ 1804122) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |