Provider Demographics
NPI:1154425775
Name:RASKA, KAREL JR (MD PHD)
Entity type:Individual
Prefix:DR
First Name:KAREL
Middle Name:
Last Name:RASKA
Suffix:JR
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2708
Mailing Address - Country:US
Mailing Address - Phone:732-745-8504
Mailing Address - Fax:732-828-3858
Practice Address - Street 1:254 EASTON AVENUE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08903-0591
Practice Address - Country:US
Practice Address - Phone:732-743-8504
Practice Address - Fax:732-828-3858
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA29875207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0203700Medicaid
NJ0203700Medicaid
E13345Medicare UPIN