Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rathvitou Proeun, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952158347

Rathvitou Proeun, DPM is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (973) 072-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1952158347
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address150 Bergen St, Newark, NJ 07103-2496

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