D'Amico, Richard A.
D'Amico, Richard A. is an sole proprietor health care provider with primary practice located at 180 N Dean St Suite 3N, Englewood NJ 07631-2534. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. D'Amico, Richard A. can be contacted via phone (201) 567-9595.Contact Information
Primary practice address
180 N Dean St Suite 3N
Englewood NJ 07631-2534
Phone: (201) 567-9595
Fax: (201) 567-1813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA04177200 | New Jersey |
Profile Details
| NPI number | 1124074828 |
|---|---|
| LBN Legal business name | D'Amico, Richard A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 11th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124074828 | NPPES |
| New Jersey | MEDICAID | 3238105 |
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