Individual
MR. ABDALLAH RIYAD RAGAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
992 CLIFTON AVE, CLIFTON, NJ 07013-3502
(609) 815-5618
Mailing address
13 HARRIS CT, LAWRENCE, NJ 08648-2625
(609) 815-5618
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01101100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356931968
NPPES
NJ
Enumeration date
01/19/2021
Last updated
08/17/2021
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