Radin, Audrey B
Radin, Audrey B is an sole proprietor health care provider with primary practice located at 80 Main St Ste 300 , West Orange NJ 07052-5439. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Radin, Audrey B can be contacted via phone (855) 619-4448.Contact Information
Primary practice address
80 Main St Ste 300
West Orange NJ 07052-5439
Phone: (855) 619-4448
Fax: (732) 784-9918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MA-57919 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA-57919 | New Jersey |
Profile Details
| NPI number | 1134285422 |
|---|---|
| LBN Legal business name | Radin, Audrey B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Apr 8th, 2024 - about 8 months 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 | 1134285422 | NPPES |
| New Jersey | Other | MA-57919 | STATE LICENSE |
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