Theresa Radtke (NPI# 1659723310, PAC ID# 8820370737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1659723310 |
| PAC ID by PECOS | 8820370737 |
| Professional Enrollment ID | I20170131000282 |
| Full Name | Theresa Radtke |
| Address |
1053 Bloomfield Ave Clifton NJ 07012-2120 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1053 Bloomfield Ave, Clifton, NJ 07012-2120 |
| Street Address |
1053 BLOOMFIELD AVE |
| City | CLIFTON |
| State | NJ |
| Zip | 07012-2120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonid Shapiro | Anesthesiology | Pmr Medical PC | 790 Bloomfield Ave, Suite A1, Clifton, NJ 07012-1124 |
| Linda M Tanks | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Garrett B Coan | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Elise S Nerenberg | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Denise M White | Psychologist, Clinical | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Shani Stein | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Lois M Deritter | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Carol A Albanese | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Louise Gabriele | Nurse Practitioner | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Raymond Chong | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Find all physicians in zip 07012 | |||
| City | CLIFTON |
| Zip Code | 07012 |
| Specialty | OPTOMETRY |
| City + Specialty | CLIFTON + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.