Individual
RAJA BARAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
733 N BEERS ST, SUITE L5, HOLMDEL, NJ 07733-1528
(732) 739-2100
(732) 739-1002
Mailing address
733 N BEERS ST, SUITE L5, HOLMDEL, NJ 07733-1528
(732) 739-2100
(732) 739-1002
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03700400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315501
—
NJ
Enumeration date
04/10/2006
Last updated
11/22/2011
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