Individual
DR. AUDREY B RADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 MAIN ST STE 300, WEST ORANGE, NJ 07052-5439
(855) 619-4448
(732) 784-9918
Mailing address
80 MAIN ST STE 300, WEST ORANGE, NJ 07052-5439
(855) 619-4448
(732) 784-9918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA-57919
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MA-57919
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA-57919
STATE LICENSE
NJ
Enumeration date
12/29/2006
Last updated
04/08/2024
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