Organization
KAREL RASKA JR MD - MODERN DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREL RASKA JR. MD PHD (OWNER)
(732) 745-6677
Entity
Organization
Contact information
Practice address
254 EASTON AVENUE, NEW BRUNSWICK, NJ 08903-0591
(732) 745-6677
(732) 828-3858
Mailing address
PO BOX 1285, HIGHLAND PARK, NJ 08904-1285
(732) 246-1100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7362803
—
NJ
Enumeration date
09/12/2006
Last updated
10/26/2007
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