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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700874898 NPPES
New Jersey MEDICAID 0050954

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