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Organization

EMERGENCY MEDICAL ASSOCIATES OF NEW JERSEY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND IANNACCONE MD (INTERIM PRESIDENT / CEO)
(973) 740-0607
Entity
Organization

Contact information

Practice address
100 MADISON AVE, MORRISTOWN MEMORIAL HOSPITAL EMERGENCY DEPARTMENT, MORRISTOWN, NJ 07960-6136
(973) 971-5007
(973) 740-9895
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
(973) 740-9895

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4059808
NJ
Enumeration date
06/03/2006
Last updated
01/09/2008
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