Provider Demographics
NPI:1558921007
Name:ATTAH, RALUCHUKWU COLET (MD)
Entity Type:Individual
Prefix:
First Name:RALUCHUKWU
Middle Name:COLET
Last Name:ATTAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:185 S ORANGE AVE # MSBC595
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2757
Mailing Address - Country:US
Mailing Address - Phone:973-972-3106
Mailing Address - Fax:973-972-2229
Practice Address - Street 1:185 S ORANGE AVE # MSBC595
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103
Practice Address - Country:US
Practice Address - Phone:973-972-3106
Practice Address - Fax:973-972-2229
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301510202207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine