# RAJ MEDICAL DIAGNOSTICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871966333
- **Authorized official:** RICARDO DUNNER (ADMINISTRATION SECRETARY)
- **Authorized official phone:** (718) 809-4921

## Contact information

- **Practice address:** 887 RUTLAND RD, BROOKLYN, NY 11203
- **Practice address phone:** (718) 809-4921
- **Mailing address:** 887 RUTLAND RD, BROOKLYN, NY 11203-1911
- **Mailing address phone:** (718) 809-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | 0-93763 | NY | — |
| 207R00000X | Internal Medicine Physician | 25MA09998900 | NJ | — |
| 207R00000X | Internal Medicine Physician | 55603 | CT | — |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 05/29/2018