Individual
DR. JOSEPH RICHARD RACCUGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207Q00000X
Family Medicine Physician
Primary
25MA06096200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7201907
—
NJ
Enumeration date
05/31/2006
Last updated
12/10/2007
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