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Contact Information

MIROSLAV R RADEVIC, MD
246 INDUSTRIAL WAY W
SUITE 2
EATONTOWN, NJ07724-4240
 Phone: 732-389-5200
 Fax: 732-389-5299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MIROSLAV R RADEVIC · (Male)

NPI # 1275779894
Status Active
Credentials MD
Entity Individual
Enumeration date 01/02/2009
Last updated 05/31/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08496100
  • NY License # 257993
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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