Richardson, Robert W
Richardson, Robert W is an individual health care provider with primary practice located at 180 Franklin Ave , Nutley NJ 07110-2939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Richardson, Robert W can be contacted via phone (973) 667-4568.Contact Information
Primary practice address
180 Franklin Ave
Nutley NJ 07110-2939
Phone: (973) 667-4568
Fax: (973) 667-5989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03545600 | New Jersey |
Profile Details
| NPI number | 1033167978 |
|---|---|
| LBN Legal business name | Richardson, Robert W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1033167978 | NPPES |
| New Jersey | MEDICAID | 1284801 |
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