Dr. Louis J. Petracca, M.D.
Internal Medicine, Pulmonary Disease in Bloomfield, NJ. Individual provider (NPI-1).
NPI number1073643136
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073643136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Louis J. Petracca
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 25MA04021600 | NJ | Yes |
Practice location
332 Bloomfield AveBloomfield, NJ 07003-4806
Phone 973-429-9225 · Fax 973-566-0973
Mailing address
332 Bloomfield AveBloomfield, NJ 07003-4806
Phone 973-429-9225 · Fax 973-566-0973
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