Individual
RIKKI REDONA RACELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 ROCKWOOD PL, #110, ENGLEWOOD, NJ 07631-4957
(201) 894-5805
Mailing address
25 ROCKWOOD PL, #110, ENGLEWOOD, NJ 07631-4957
(201) 894-5805
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
258850
NY
2084N0400X
Neurology Physician
Primary
25MA09073400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258850
NY STATE EDUCATION DEPT. OFFICE OF THE PROFESSIONS
NY
01
—
25MA09073400
NJ BOARD OF MEDICAL EXAMINERS
NJ
Enumeration date
07/18/2007
Last updated
04/16/2012
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