Organization
RADIANT LONGEVITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPHAEL KORBLA KUKUBOR (MANAGER)
(201) 989-9777
Entity
Organization
Contact information
Practice address
140 E RIDGEWOOD AVE, PARAMUS, NJ 07652-3917
(201) 989-9777
(155) 136-1972
Mailing address
140 E RIDGEWOOD AVE STE 415, PARAMUS, NJ 07652-3915
(201) 989-9777
(155) 136-1972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/15/2025
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