Doctor Name: | MR. RICHARD C HEIMBUCH |
NPI Number: | 1033378351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APN-BC |
License Number: | 26NJ00160100 |
Business Practice Address: | 2540 Route 130 Suite 118 Cranbury, NJ - 085123519 |
Business Phone Number: | 8776797737 |
Business Fax Number: | |
Mailing Address: | 10 Blue Spruce Pl, BRICK |
State: | NJ |
Postal Code: | 087242082 |
Phone Number: | 7328409482 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00160100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |