Individual provider · Type 1 NPI

Amanda Radisic, MD

Student in an Organized Health Care Education/Training Program · New Brunswick, NJ

NPI number 1487147773 Active

Practice location

1 Robert Wood Johnson Pl # PLACE527
New Brunswick, NJ 08901-1928

Call (732) 235-7674 Map

Mailing address

11 Raritan Ave Apt E5
Highland Park, NJ 08904-1721

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487147773

Amanda Radisic, MD's National Provider Identifier is 1487147773, issued on Jun 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Brunswick, NJ. The record was last updated on Jun 11, 2018.