| Radium Healthcare Professional Associates | |
|
700 N Broad St Suite Ll3 Elizabeth NJ 07208-2310 | |
| (908) 469-1500 | |
| Not Available |
| Full Name | Radium Healthcare Professional Associates |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 700 N Broad St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Rita U. Goradia (PHYSICIAN) |
| Authorized Official Contact | 9084691500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radium Healthcare Professional Associates 700 N Broad St Suite Ll3 Elizabeth NJ 07208-2310 Ph: () - | Radium Healthcare Professional Associates 700 N Broad St Suite Ll3 Elizabeth NJ 07208-2310 Ph: (908) 469-1500 |
| NPI Number | 1255607289 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255607289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA08944900 (New Jersey) | Primary |
| 208D00000X | General Practice | 25MA02888800 (New Jersey) | Secondary |
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