Organization
JEM BREAST AND WOMEN'S IMAGING LLC
Active
Organization
JEM BREAST AND WOMEN'S IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE RACCUIA MD (SOLE MBR)
(732) 706-5200
Entity
Organization
Contact information
Practice address
1275 HIGHWAY 35, MIDDLETOWN, NJ 07748-2040
(732) 706-5200
(732) 706-5204
Mailing address
1275 HIGHWAY 35, MIDDLETOWN, NJ 07748-2040
(732) 706-5200
(732) 706-5204
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07886900
NJ
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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