Organization
COMMUNITY EMC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND IANNACCONE MD (PRESIDENT / CEO)
(973) 740-0607
Entity
Organization
Contact information
Practice address
99 HIGHWAY 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-8000
Mailing address
PO BOX 5143, PARSIPPANY, NJ 07054-6143
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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