Individual
RAEKEISHA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00114200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00114200
LICENSE
NJ
Enumeration date
10/26/2007
Last updated
01/13/2012
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