Organization
XRA, P.A.
Active
Other names
XRAY ASSOCIATES OF WHITING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M. MEZZACAPPA M.D. (MEDICAL DIRECTOR)
(732) 716-0300
Entity
Organization
Contact information
Practice address
65 G LACEY ROAD, WHITING, NJ 08759
(732) 716-0300
(732) 716-0316
Mailing address
65 G LACEY ROAD, WHITING, NJ 08759
(732) 716-0300
(732) 716-0316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2778700
—
NJ
Enumeration date
06/07/2006
Last updated
08/22/2020
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