Healthcare Provider Details

I. General information

NPI: 1598714792
Provider Name (Legal Business Name): RABC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MADISON AVE
MOUNT HOLLY NJ
08060-2038
US

IV. Provider business mailing address

1020A E BOAL AVE
BOALSBURG PA
16827-1509
US

V. Phone/Fax

Practice location:
  • Phone: 609-261-7074
  • Fax:
Mailing address:
  • Phone: 814-237-8627
  • Fax: 814-238-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. LEMUEL S ARIARATNAM
Title or Position: OWNER
Credential: MD
Phone: 609-261-7074