Organization
METAMORPHOSIS PLASTIC SURGERY
Active
Other names
Joseph A. Racanelli D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A RACANELLI JR. DO (PHYSICIAN AND OWNER)
(888) 409-0801
Entity
Organization
Contact information
Practice address
42 BROOK DRIVE SOUTH, NEW VERNON, NJ 07976
(888) 409-0801
(973) 425-0453
Mailing address
PO BOX 130, NEW VERNON, NJ 07976-0130
(973) 534-1220
(973) 425-0453
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
—
05
—
02586556
—
NY
05
—
055433
—
NJ
Enumeration date
05/07/2007
Last updated
05/21/2020
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