Radium Healthcare Professional Associates
Internal Medicine, Infectious Disease in Elizabeth, NJ. Organization (NPI-2).
NPI number1255607289
StatusActive
Last updated in NPPESMar 23, 2012
Details
- NPI
- 1255607289
- Entity type
- Organization (NPI-2)
- Legal business name
- Radium Healthcare Professional Associates
- Organization subpart
- No
- Enumeration date
- Mar 23, 2012
- Last updated
- Mar 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 25MA08944900 | NJ | Yes |
| 208D00000X | General Practice | 25MA02888800 | NJ |
Practice location
700 N Broad StSuite Ll3
Elizabeth, NJ 07208-2310
Phone 908-469-1500
Mailing address
700 N Broad StSuite Ll3
Elizabeth, NJ 07208-2310
Authorized official
Rita U. Goradia
Physician
9084691500
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