Organization
JOSEPH R. RACCUGLIA, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R RACCUGLIA MD (PRESIDENT)
(732) 780-3744
Entity
Organization
Contact information
Practice address
4251 US HIGHWAY 9, SUITE 3-A, FREEHOLD, NJ 07728-8303
(732) 780-3744
(732) 780-9644
Mailing address
10 OSSENER DR, PERRINEVILLE, NJ 08535-1032
(732) 780-3744
(732) 780-9644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA06096200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7201907
—
NJ
Enumeration date
02/15/2007
Last updated
12/09/2007
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