Individual
DR. RAHMAN RYAN SUBRATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 MAIN RD, SUITE 20, MONTVILLE, NJ 07045-9231
(973) 402-0025
(973) 402-0508
Mailing address
137 MAIN RD, SUITE 20, MONTVILLE, NJ 07045-9231
(973) 402-0025
(973) 402-0508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09233800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2012
Last updated
06/20/2013
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