| Joseph R. Raccuglia, Md, Llc | |
|
4251 Us Highway 9 Suite 3-a Freehold NJ 07728-8303 | |
| (732) 780-3744 | |
| (732) 780-9644 |
| Full Name | Joseph R. Raccuglia, Md, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4251 Us Highway 9, Freehold, New Jersey |
| Authorized Official Name and Position | Joseph R Raccuglia (PRESIDENT) |
| Authorized Official Contact | 7327803744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph R. Raccuglia, Md, Llc 10 Ossener Dr Perrineville NJ 08535-1032 Ph: (732) 780-3744 | Joseph R. Raccuglia, Md, Llc 4251 Us Highway 9 Suite 3-a Freehold NJ 07728-8303 Ph: (732) 780-3744 |
| NPI Number | 1487797528 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/09/2007 |
| Medicare PECOS PAC ID | 2062509441 |
|---|---|
| Medicare Enrollment ID | O20071101000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487797528 | NPI | - | NPPES |
| 7201907 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA06096200 (New Jersey) | Primary |
| Provider Name | Joseph R Raccuglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750328993 PECOS PAC ID: 7416925789 Enrollment ID: I20040923000935 |
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