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Individual

DR. EMILIO A. RONCACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1307 WHITE HORSE RD, BLDG A, VOORHEES, NJ 08043-2176
(856) 346-0200
(856) 309-8192
Mailing address
1307 WHITE HORSE RD, BLDG A, VOORHEES, NJ 08043-2176
(856) 346-0200
(856) 309-8192

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA02060800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0072857000
AMERIHEALTH
NJ
05
2414902
NJ
01
3321541
AETNA
NJ
Enumeration date
06/21/2005
Last updated
07/09/2007
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