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1063424828
JOSEPH M CARRUCCIU
PORT JEFFERSON, NY
NPI
1063424828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 158313)
Enumeration Date
2006-08-12
Last Update Date
2007-08-17
Business Address
-- JOSEPH M CARRUCCIU MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
-- JOSEPH M CARRUCCIU MD
625 BELLE TERRE RD SUITE 100
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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