Provider Demographics
NPI:1427271733
Name:RADA, MARY-ELLEN (DC)
Entity type:Individual
Prefix:DR
First Name:MARY-ELLEN
Middle Name:
Last Name:RADA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 BREWERS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2033
Mailing Address - Country:US
Mailing Address - Phone:732-901-4343
Mailing Address - Fax:732-901-1080
Practice Address - Street 1:730 BREWERS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2033
Practice Address - Country:US
Practice Address - Phone:732-901-4343
Practice Address - Fax:732-901-1080
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00368100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor