Patragnoni, Richard M

Patragnoni, Richard M is an individual health care provider with primary practice located at 103 Old Marlton Pike Suite 103, Medford NJ 08055-8772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Patragnoni, Richard M can be contacted via phone (609) 953-7105.

Contact Information

Primary practice address
103 Old Marlton Pike Suite 103 Medford NJ 08055-8772
Fax: (609) 953-0042
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB02604700 New Jersey

Profile Details

NPI number 1972532422
LBN Legal business name Patragnoni, Richard M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 9th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972532422 NPPES
New Jersey MEDICAID 1816403

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