Organization
RAJ MEDICAL DIAGNOSTICS PC
Active
Parent organization
RAJ MEDICAL DIAGNOSTICS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAJ MEDICAL DIAGNOSTICS PC
Authorized official
RACQUEL PETERS (ADMINISTRATION SECRETARY)
(917) 940-0360
Entity
Organization
Contact information
Practice address
3180 MAIN ST, BRIDGEPORT, CT 06606-4237
(917) 940-0360
Mailing address
887 RUTLAND RD, BROOKLYN, NY 11203-1911
(917) 940-0360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55603
CT
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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