| NPI | 1457610156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS J PETRACCA Owner 973-429-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA04021600) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |