| Dr Lawrence Petracco, DC | |
|
218 Newark Ave, Jersey City, NJ 07302-2736 | |
| (201) 533-0055 | |
| (201) 533-0066 |
| Full Name | Dr Lawrence Petracco |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 218 Newark Ave, Jersey City, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528090149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00495100 (New Jersey) | Primary |
| Provider Name | Center For Joint And Spine Relief |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205121316 PECOS PAC ID: 3870755960 Enrollment ID: O20120508000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Petracco, DC 218 Newark Ave, Jersey City, NJ 07302-2736 Ph: (201) 533-0055 | Dr Lawrence Petracco, DC 218 Newark Ave, Jersey City, NJ 07302-2736 Ph: (201) 533-0055 |
Dr. Anthony R Di Liberto, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 115 Christopher Columbus Dr, Suite 402, Jersey City, NJ 07302 Phone: 201-474-8464 | |
Dr. Adam Rodriguez, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 720 Bergen Ave, Jersey City, NJ 07306 Phone: 201-278-5418 | |
Dr. Stacey Barbossa, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1637 John F Kennedy Blvd, Jersey City, NJ 07305 Phone: 201-435-0900 Fax: 201-435-0911 | |
Dr. Adrian Reyes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 75 Montgomery St Fl 603, Jersey City, NJ 07302 Phone: 201-885-6952 | |
Lawrence Cyran, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 944 Westside Ave, Jersey City, NJ 07306 Phone: 201-432-3693 | |
Elite Chiro Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 49 Morton Pl, Jersey City, NJ 07305 Phone: 917-318-0784 | |
Dominique Bariso, D.C., L.AC. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 944 Westside Ave, Jersey City, NJ 07306 Phone: 201-432-3693 |