Organization
JERSEY EMERGENCY MEDICAL ASSOCIATES 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
176 PALISADE AVE, CHRIST HOSPITAL (EMERGENCY DEPARTMENT), JERSEY CITY, NJ 07306-1121
(201) 795-8200
Mailing address
PO BOX 509, LIVINGSTON, NJ 07039-0509
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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