Individual
AMANDA RADISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL # PLACE527, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7674
Mailing address
11 RARITAN AVE APT E5, HIGHLAND PARK, NJ 08904-1721
(484) 744-6654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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