| Organization Name: | RADIUM HEALTHCARE PROFESSIONAL ASSOCIATES |
| NPI Number: | 1255607289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RITA U. GORADIA (PHYSICIAN) |
| Mailing Address: | 700 N Broad St Suite Ll3 Elizabeth |
| State: | NJ US |
| Postal Code: | 072082310 |
| Phone Number: | 9084691500 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2012 |
| NPI Last Update Date: | 03/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA02888800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |