Organization
RAE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDEAN C WATKINS (BILLER)
(973) 623-4957
Entity
Organization
Contact information
Practice address
186 W MARKET ST, SUITE 113, NEWARK, NJ 07103-2783
(973) 623-4957
(973) 623-2103
Mailing address
186 W MARKET ST, SUITE 113, NEWARK, NJ 07103-2783
(973) 623-4957
(973) 623-2103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07844500
NJ
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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