Radiant Longevity Care
NPI #1639043755 in Paramus, New Jersey
Provider Information
- NPI Number
- 1639043755
- Entity Type
- Organization
- Organization Name
- Radiant Longevity Care
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 1, 2025
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 140 E RIDGEWOOD AVE
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-3917
- Phone
- (201) 989-9777
Authorized Official
- Name
- RALPHAEL KORBLA KUKUBOR
- Title
- MANAGER
- Phone
- (201) 989-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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