Individual
MS. DOROTHY L PETRACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 ROUTE 73 N, 40 LAKE CENTER DRIVE SUITE 201B, MARLTON, NJ 08053-3425
(856) 355-0312
(856) 355-0353
Mailing address
401 ROUTE 73 N, 40 LAKE CENTER DRIVE SUITE 201B, MARLTON, NJ 08053-3425
(856) 355-0312
(856) 355-0353
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NR40342
NJ
Other
Enumeration date
08/24/2005
Last updated
02/13/2009
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