Individual
JEFFREY JAMES RADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
(774) 441-6303
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
248758
MA
207RI0011X
Interventional Cardiology Physician
Primary
248758
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089445A
—
MA
05
—
212501300
—
MD
Enumeration date
06/13/2006
Last updated
11/14/2020
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