Fedoruk, Randal Stuart

Fedoruk, Randal Stuart is an individual health care provider with primary practice located at 65 Bergen St , Newark NJ 07107-3001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Fedoruk, Randal Stuart can be contacted via phone (973) 972-0186.

Contact Information

Primary practice address
65 Bergen St Newark NJ 07107-3001
Phone: (973) 972-0186
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X TR4600247500 New Jersey

Profile Details

NPI number 1437360575
LBN Legal business name Fedoruk, Randal Stuart
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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