Individual
DR. SALVATORE V RACCUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 362-5285
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
235110
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07886900
NJ
2085R0202X
Diagnostic Radiology Physician
MD489204
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03095916
—
NY
01
—
235110
NY LICENSE
NY
Enumeration date
10/05/2005
Last updated
03/28/2025
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