Louis J Petracca (NPI# 1073643136, PAC ID# 1355505330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1073643136 |
| PAC ID by PECOS | 1355505330 |
| Professional Enrollment ID | I20120605000231 |
| Full Name | Louis J Petracca |
| Address |
332 Bloomfield Ave Bloomfield NJ 07003-4806 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310009 | CLARA MAASS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 332 Bloomfield Ave, Bloomfield, NJ 07003-4806 |
| Street Address |
332 BLOOMFIELD AVE |
| City | BLOOMFIELD |
| State | NJ |
| Zip | 07003-4806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hemlata Bhatia | Family Medicine | 332 Bloomfield Ave, Suite 4, Bloomfield, NJ 07003-4806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dehabah Sylvester | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Ajit Shah | Internal Medicine | 206 Belleview Ave, Suite 204 A, Bloomfield, NJ 07003 | |
| Michael Credico | Chiropractic | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Christopher W. Tuosto | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Tracey L Byrne | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Theresa Ong | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Philip T Casale | Chiropractic | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Khyati Shah | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Lauren Palang | Physical Therapy | Bloomfield Total Health Center | 1129 Broad Sreet, Bloomfield, NJ 07003 |
| Intisar Ibrahim | Nurse Practitioner | Bloomfield Health Services, LLC | 322 Glenwood Ave, Bloomfield, NJ 07003-2413 |
| Find all physicians in zip 07003 | |||
| City | BLOOMFIELD |
| Zip Code | 07003 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | BLOOMFIELD + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Louis J Petracca.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.