Organization
PETER J RACCIATO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER RACCIATO MD (PRESIDENT)
(570) 421-4222
Entity
Organization
Contact information
Practice address
1036 N 9TH ST, STROUDSBURG, PA 18360-1210
(570) 421-4222
(570) 476-0581
Mailing address
1036 N 9TH ST, STROUDSBURG, PA 18360-1210
(570) 476-0581
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
016295E
PA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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