Organization Name: | RICHARDSON SURGICAL, LLC |
NPI Number: | 1467607911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES N RICHARDSON (CEO) |
Mailing Address: | 433 Nightingale Square Mays Landing |
State: | NJ US |
Postal Code: | 083305603 |
Phone Number: | 6096466025 |
Fax Number: | 6096466316 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 26NJ00054400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |