AMANDA RADISIC MD
NPI 1487147773
Student in an Organized Health Care Education/Training Program in New Brunswick, NJ

Active since June 11, 2018
1 ROBERT WOOD JOHNSON PL # PLACE527, NEW BRUNSWICK, NJ 08901(732) 235-7674 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Radisic Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA RADISIC MD (NPI 1487147773) is an individual student in an organized health care education/training program in New Brunswick, New Jersey and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1487147773
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA RADISICCredential: MD
Location Address1 ROBERT WOOD JOHNSON PL # PLACE527New Brunswick, NJ 08901-1928
Mailing Address11 Raritan Ave Apt E5Highland Park, NJ 08904-1721 · (484) 744-6654
Sole ProprietorNo
Enumeration DateJune 11, 2018
NPI 1487147773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 ROBERT WOOD JOHNSON PL # PLACE527, New Brunswick, NJ 08901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487147773, enumerated as an "individual" on June 11, 2018.

The provider is located at 1 ROBERT WOOD JOHNSON PL # PLACE527 NEW BRUNSWICK, NJ 08901 and the phone number is (732) 235-7674.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.