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1003836917
ELAINE BACCI
RED BANK, NJ
NPI
1003836917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MB66800)
Enumeration Date
2006-07-21
Last Update Date
2018-04-09
Business Address
ELAINE BACCI DO
565 HWY 35 NORTH
RED BANK, NJ 07701
Phone number: 732-219-7140
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Mailing Address
ELAINE BACCI DO
2130 HIGHWAY 35 STE 324
SEA GIRT, NJ 08750-1011
Phone number: 732-974-1980
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