Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON JEANNE RADKOVICH, PA-C
ActiveSHANNON JEANNE RADKOVICH, PA-C is a Physician Assistant healthcare provider located in RANDOLPH, New Jersey. NPI 1215292099 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RANDOLPH, NJ
Registration Details
- NPI Number
- 1215292099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2012 (14.097779257156 yrs)
- Last Updated
- May 10, 2023
- License
-
25MP00285900 (NJ)
Practice Information
- Address
-
714 ROUTE 10 WRANDOLPH, NJ, 078692058Browse NJ providers · Browse ZIP 07869
- Phone
- 9738911213
- Fax
- 9738911216
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RANDOLPH, NJ
| Name | Credential | NPI |
|---|---|---|
| LAUREN MARIE FALVEY | P.A. | 1508045766 |
| MR. CARLOS MARTINEZ | PA | 1649895160 |
| FAITH HADLEY | — | 1588454334 |
| MS. GABRIELLE DOMINY LEE | PA-C | 1366303885 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.