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Individual
DALE F RADKA
Active
Individual
DALE F RADKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD08102
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01181
UNITED BEHAVIORAL HEALTH
RI
01
—
30180-0
BLUE CROSS
RI
01
—
404835
BLUE CHIP
RI
05
—
7000808
—
RI
Enumeration date
05/23/2006
Last updated
09/13/2013
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