Dovlatyan, Raida
Dovlatyan, Raida is an individual health care provider with primary practice located at 300 Market St , Saddle Brook NJ 07663-5309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Dovlatyan, Raida can be contacted via phone (201) 368-6019.Contact Information
Primary practice address
300 Market St
Saddle Brook NJ 07663-5309
Phone: (201) 368-6019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 25MA05544300 | New Jersey |
Profile Details
| NPI number | 1700874898 |
|---|---|
| LBN Legal business name | Dovlatyan, Raida |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Feb 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700874898 | NPPES |
| New Jersey | MEDICAID | 0050954 |
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