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Organization

PEDIATRIC RHEUMATOLOGY OF TRI-STATE PA

Active
Other names
NJ Pediatric Rheumatology
Organization subpart
No

Provider details

NPI number
Authorized official
SUHAS RADHAKRISHNA MD (PRESIDENT)
(732) 752-8442
Entity
Organization

Contact information

Practice address
155 STELTON RD, PISCATAWAY, NJ 08854-3251
(732) 752-3957
(732) 752-3957
Mailing address
11 BENNINGTON PL, PISCATAWAY, NJ 08854-5701
(732) 354-9660
(732) 752-3957

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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