Wagman, Raquel Tamara
Wagman, Raquel Tamara is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Therapeutic Radiology, which is considered as her primary health care specialty. Wagman, Raquel Tamara can be contacted via phone (973) 322-5696.Contact Information
Primary practice address
94 Old Short Hills Rd
Livingston NJ 07039-5672
Phone: (973) 322-5696
Fax: (973) 322-5648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 25MAO7641100 | New Jersey |
Profile Details
| NPI number | 1982641015 |
|---|---|
| LBN Legal business name | Wagman, Raquel Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Dec 7th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982641015 | NPPES |
| New Jersey | MEDICAID | 0089362 |
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