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Individual

MR. RAFFAELE CHARLES SIMONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
146 N STATE RT 17 STE 2, HACKENSACK, NJ 07601-1071
(732) 906-9600
(833) 974-2196
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00955700
NJ

Other

Enumeration date
07/08/2025
Last updated
08/08/2025
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