Active NPIIndividual providerSole proprietor

Dr. Louis J Petracca, MD

Internal Medicine, Pulmonary Disease in Bloomfield, New Jersey

NPI Number1073643136
Practice location
332 Bloomfield Ave, Bloomfield, NJ 07003-4806
Fax
973-566-0973
Last updated
July 8, 2007

Louis J. Petracca is an Internal Medicine, Pulmonary Disease based in Bloomfield, NJ. Louis J. Petracca practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Louis J. Petracca is 1073643136 and holds a License No. 25MA04021600 (NJ). The current practice location address for Louis J. Petracca is 332 Bloomfield Ave, Bloomfield, NJ 07003-4806 and can be reached out via phone at 973-429-9225 and via fax at 973-566-0973.

Provider Profile Details

NPI Number
1073643136
Provider Name
Louis J. Petracca
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
332 Bloomfield Ave, Bloomfield, NJ 07003-4806
Phone Number
973-429-9225
Fax Number
973-566-0973
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
Yes
Provider Enumeration Date
March 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
332 Bloomfield Ave
Bloomfield, NJ 07003-4806
Zip
07003-4806
Phone Number
973-429-9225
Fax Number
973-566-0973
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
332 Bloomfield Ave
Bloomfield, NJ 07003-4806
City
Bloomfield
State
NJ
Zip
07003-4806
Phone Number
973-429-9225
Fax Number
973-566-0973

License Information

License Number
25MA04021600
License State
NJ
Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Louis J Petracca, MD?

The NPI number of Dr. Louis J Petracca, MD is 1073643136. It was assigned on March 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Louis J Petracca, MD?

Dr. Louis J Petracca, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in NJ under license number 25MA04021600.

Where does Dr. Louis J Petracca, MD practice?

The practice location is 332 Bloomfield Ave, Bloomfield, NJ 07003-4806. The office can be reached at 973-429-9225 (phone) or 973-566-0973 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073643136 directly on the NPPES registry website.

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