Organization · NPI-2

Joseph C Iraci MD PC

Surgery · Fort Lee, NJ

NPI number1891383071
StatusActive
Last updated in NPPESJan 4, 2021

Details

NPI
1891383071
Entity type
Organization (NPI-2)
Legal business name
Joseph C Iraci MD PC
Organization subpart
No
Enumeration date
Jan 4, 2021
Certification date
Jan 4, 2021
Last updated
Jan 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

1608 Lemoine Ave Ste 201
Fort Lee, NJ 07024-5636

Phone 908-499-9062

Mailing address

133 E 58th St Ste 703
New York, NY 10022-1138

Phone 201-585-9921 · Fax 866-420-3319

Authorized official

Millie Figueredo
Manager
2015859921

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