Individual
MS. RADHA VENKATARAMANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
324 SAINT MARY ST, HILLSDALE, NJ 07642-1649
(201) 358-0001
Mailing address
465 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 733-6400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00440100
NJ
364SA2200X
Adult Health Clinical Nurse Specialist
26NJ00440100
NJ
Other
Enumeration date
06/28/2013
Last updated
10/18/2021
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