Healthcare Provider Details

I. General information

NPI: 1609426451
Provider Name (Legal Business Name): RADHIKA SEHGAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 NICHOL AVE
NEW BRUNSWICK NJ
08901-2890
US

IV. Provider business mailing address

17 SENIOR ST
NEW BRUNSWICK NJ
08901-8534
US

V. Phone/Fax

Practice location:
  • Phone: 848-932-7884
  • Fax:
Mailing address:
  • Phone: 848-932-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: