Organization
ELAINE BACCI, D.O.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN NIGRO (OFFICE MANAGER)
(732) 219-7140
Entity
Organization
Contact information
Practice address
565 STATE ROUTE 35, RED BANK, NJ 07701-5047
(732) 219-7140
(732) 219-7177
Mailing address
565 STATE ROUTE 35, RED BANK, NJ 07701-5047
(732) 219-7140
(732) 219-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06680000
NJ
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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