Individual
DR. NICOLE MADELINE RAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC.D.
Contact information
Practice address
140 BERGEN ST, E LEVEL 1700, NEWARK, NJ 07103-2425
(973) 972-0187
Mailing address
140 BERGEN ST, ACC, E LEVEL, SUITE 1700, NEWARK, NJ 07107-3001
(973) 972-0187
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00083400
NJ
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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