Organization
A1 MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHIKA MADDALI M D (OWNER)
(973) 678-2900
Entity
Organization
Contact information
Practice address
310 CENTRAL AVE, SUITE 310, EAST ORANGE, NJ 07018-2835
(973) 678-2900
(973) 678-8183
Mailing address
310 CENTRAL AVE, SUITE 310, EAST ORANGE, NJ 07018-2835
(973) 678-2900
(973) 678-8183
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA07474500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105481
—
NJ
Enumeration date
03/15/2013
Last updated
03/15/2013
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