Organization
MJM SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH IRACI MD (MEDICAL DIRECTOR)
(201) 585-9921
Entity
Organization
Contact information
Practice address
1608 LEMOINE AVE STE 101, FORT LEE, NJ 07024-5636
(201) 585-9921
Mailing address
1608 LEMOINE AVE STE 101, FORT LEE, NJ 07024-5636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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