Rae Medical LLC

NPI #1366639361 in Newark, New Jersey

Provider Information

NPI Number
1366639361
Entity Type
Organization
Organization Name
Rae Medical LLC
Primary Specialty
Specialist
Enumeration Date
Oct 3, 2007
Last Updated
Oct 3, 2007

Practice Location

Address
186 W MARKET ST
Address 2
SUITE 113
City
Newark
ZIP Code
07103-2783
Phone
(973) 623-4957

Authorized Official

Name
MRS. IDEAN C WATKINS
Title
BILLER
Phone
(973) 623-4957

Specialties & Taxonomy Codes

Specialty
Specialist

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