Provider Demographics
NPI:1982007571
Name:RAMADI, ROULA ALCHAA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROULA
Middle Name:ALCHAA
Last Name:RAMADI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROULA
Other - Middle Name:NAIM
Other - Last Name:ALCHAA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:72 HOLLEY TER
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2807
Mailing Address - Country:US
Mailing Address - Phone:917-680-1630
Mailing Address - Fax:
Practice Address - Street 1:1 BROADWAY STE 303
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1845
Practice Address - Country:US
Practice Address - Phone:201-794-8855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-26
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09931500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics