NPI Provider: 1467407288
Contact Name: Mezzacappa M. Peter
Position: Medical Director
Phone: (732) 240-1400
Xra, P.a. Information:
Xra, P.a. organization have npi 1467407288, taxonomy code is 2085R0202X with license number is in . This Business address located in 19 Mule Rd, Toms River, NJ 87555 New Jersey.
Practice Location
Address: 19 Mule Rd, Toms River, NJ 87555
Phone: (732) 240-1400
Business Location
Address: 19 Mule Rd, Toms River, NJ 87555
Phone: (732) 240-1400
Fax: (732) 341-3588
Taxonomy
Taxonomy Code: 2085R0202X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 5/23/2006
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