Individual
DR. JOSEPH S RACCUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 PARK AVE, HOBOKEN, NJ 07030-3794
(917) 349-0537
(646) 952-7741
Mailing address
70A GREENWICH AVE, BOX 101, NEW YORK, NY 10011-8300
(917) 349-0537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
196145I
NY
208600000X
Surgery Physician
25MA05542200
NJ
2086X0206X
Surgical Oncology Physician
125MA05542200
NJ
2086X0206X
Surgical Oncology Physician
Primary
196145I
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608511
—
NY
Enumeration date
05/20/2006
Last updated
12/14/2016
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