Organization Name: | RICHMOND TOTAL MEDICAL, P.C. |
NPI Number: | 1730218363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN DOMINICK MCCARTHY (PRESIDENT) |
Mailing Address: | 1776 Richmond Rd Suite 5 Staten Island |
State: | NY US |
Postal Code: | 103062581 |
Phone Number: | 7186689300 |
Fax Number: | 7186681834 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 211722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |