Candrick C Darkashade


Address: 285 Roseville Ave, Newark, NJ 07107-1703

Candrick C Darkashade (NPI# 1225553084, PAC ID# 4183972755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1225553084
PAC ID by PECOS 4183972755
Professional Enrollment ID I20180731000664
Full Name Candrick C Darkashade
Address 285 Roseville Ave
Newark
NJ 07107-1703
Gender M
Graduation Year 2017
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
285 Roseville Ave, Newark, NJ 07107-1703

Organization Information

Office Location

Street Address 285 ROSEVILLE AVE
City NEWARK
State NJ
Zip 07107-1703

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Kim King Chan Internal Medicine Northward Hospital Associates 495 N 13th St, Newark, NJ 07107-1317
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Competitor

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City NEWARK
Zip Code 07107
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty NEWARK + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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