Organization
PETRACCO CHIROPRACTIC CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE PETRACCO D.C. (OWNER/PRESIDENT)
(201) 533-0055
Entity
Organization
Contact information
Practice address
218 NEWARK AVE, JERSEY CITY, NJ 07302-2736
(201) 533-0055
(201) 533-0066
Mailing address
218 NEWARK AVE, JERSEY CITY, NJ 07302-2736
(201) 533-0055
(201) 533-0066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00495100
NJ
Other
Enumeration date
06/10/2006
Last updated
04/23/2008
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