Xra, P.a.

NPI Provider: 1891735189
Contact Name: Mezzacappa M. Peter
Position: Medical Director
Phone: (732) 716-0300

Xra, P.a. Information:

Xra, P.a. organization have npi 1891735189, taxonomy code is 2085R0202X with license number is in . This Business address located in 65 G Lacey Road, Whiting, NJ 8759 New Jersey.

Practice Location
Address: 65 G Lacey Road, Whiting, NJ 8759
Phone: (732) 716-0300

Business Location
Address: 65 G Lacey Road, Whiting, NJ 8759
Phone: (732) 716-0300
Fax: (732) 716-0316

Taxonomy

Taxonomy Code: 2085R0202X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 6/7/2006

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