Michael J Raguso-Failla, MD
Family Medicine in Little Egg Harbor, NJ. Individual provider (NPI-1).
NPI number1497837744
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1497837744
- Entity type
- Individual (NPI-1)
- Name
- Michael J Raguso-Failla
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA07211200 | NJ | Yes |
Practice location
279 Mathistown RdLittle Egg Harbor, NJ 08087
Phone 609-296-1101
Mailing address
331 Newman Springs RdBldg 2, Ste 220
Red Bank, NJ 07701-5688
Other practice locations
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