Active NPIIndividual providerSole proprietor

Dr. Miroslav R Radevic, MD

Pathology, Anatomic Pathology & Clinical Pathology in Eatontown, New Jersey

NPI Number1275779894
Practice location
246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240
Fax
732-389-5299
Last updated
May 31, 2016

Miroslav Rade Radevic is a Pathology, Anatomic Pathology & Clinical Pathology based in Eatontown, NJ. Miroslav Rade Radevic practices in Eatontown, NJ and has the professional credentials of MD. The NPI Number for Miroslav Rade Radevic is 1275779894 and holds a License No. 25MA08496100 (NJ). The current practice location address for Miroslav Rade Radevic is 246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240 and can be reached out via phone at 732-389-5200 and via fax at 732-389-5299.

Provider Profile Details

NPI Number
1275779894
Provider Name
Miroslav Rade Radevic
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240
Phone Number
732-389-5200
Fax Number
732-389-5299
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2009
Last Update Date
May 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
246 Industrial Way W
Suite 2
Eatontown, NJ 07724-4240
Zip
07724-4240
Phone Number
732-389-5200
Fax Number
732-389-5299
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
246 Industrial Way West
Suite 2
Eatontown, NJ 07724
City
Eatontown
State
NJ
Zip
07724
Phone Number
732-389-5200
Fax Number
732-389-5299

License Information

License Number (1)
25MA08496100
License State (1)
NJ
Taxonomy (1)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
License Number (2)
257993
License State (2)
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Miroslav R Radevic, MD?

The NPI number of Dr. Miroslav R Radevic, MD is 1275779894. It was assigned on January 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Miroslav R Radevic, MD?

Dr. Miroslav R Radevic, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA08496100.

Where does Dr. Miroslav R Radevic, MD practice?

The practice location is 246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240. The office can be reached at 732-389-5200 (phone) or 732-389-5299 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275779894 directly on the NPPES registry website.

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