Richiusa, Juan P

Richiusa, Juan P is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Richiusa, Juan P can be contacted via phone (508) 941-7379.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Phone: (508) 941-7379
Fax: (508) 941-6330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME114613 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 236310 Massachusetts

Profile Details

NPI number 1164614434
LBN Legal business name Richiusa, Juan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Apr 18th, 2024 - about last year

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 1164614434 NPPES
Florida MEDICAID 008606100

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