Individual
DR. LAWRENCE PETRACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
07/06/2006
Last updated
07/08/2007
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