Individual
JESSICA RACANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
115 ROUTE 46 W, MOUNTAIN LAKES, NJ 07046-1668
(973) 539-7476
Mailing address
115 ROUTE 46 W BLDG D, MOUNTAIN LAKES, NJ 07046-1668
(973) 270-8125
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB12519400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
04/20/2021
Last updated
01/29/2026
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