Individual
MRS. SELMA RADONCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3117
(201) 444-7949
Mailing address
12 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3117
(646) 736-8016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR26609200
NJ
Other
Enumeration date
05/13/2025
Last updated
09/26/2025
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