| Elaine Bacci, D.o.,llc | |
|
565 State Route 35 Red Bank NJ 07701-5047 | |
| (732) 219-7140 | |
| (732) 219-7177 |
| Full Name | Elaine Bacci, D.o.,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 565 State Route 35, Red Bank, New Jersey |
| Authorized Official Name and Position | Susan Nigro (OFFICE MANAGER) |
| Authorized Official Contact | 7322197140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Bacci, D.o.,llc 565 State Route 35 Red Bank NJ 07701-5047 Ph: (732) 219-7140 | Elaine Bacci, D.o.,llc 565 State Route 35 Red Bank NJ 07701-5047 Ph: (732) 219-7140 |
| NPI Number | 1518169671 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518169671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB06680000 (New Jersey) | Primary |
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