Organization
RADIUM HEALTHCARE PROFESSIONAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA U. GORADIA M.D. (PHYSICIAN)
(908) 469-1500
Entity
Organization
Contact information
Practice address
700 N BROAD ST, SUITE LL3, ELIZABETH, NJ 07208-2310
(908) 469-1500
Mailing address
700 N BROAD ST, SUITE LL3, ELIZABETH, NJ 07208-2310
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA08944900
NJ
208D00000X
General Practice Physician
25MA02888800
NJ
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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