Individual
DR. PUTHENMADAM RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 BELLEVUE AVE, STE 207, TRENTON, NJ 08618-4513
(609) 989-9801
(609) 989-9806
Mailing address
3131 PRINCETON PIKE, BLDG 5 SUITE 208, LAWRENCEVILLE, NJ 08648
(609) 815-7829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA054930
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247804
—
NJ
Enumeration date
07/22/2006
Last updated
05/14/2021
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