Flyer, Richard Harris

Flyer, Richard Harris is an individual health care provider with primary practice located at 36 Park Ave , Verona NJ 07044-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Flyer, Richard Harris can be contacted via phone (973) 239-7001.

Contact Information

Primary practice address
36 Park Ave Verona NJ 07044-2440
Fax: (973) 239-8867
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03715500 New Jersey

Profile Details

NPI number 1104892546
LBN Legal business name Flyer, Richard Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2006
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892546 NPPES
New Jersey Other 25MA03715500 STATE LICENSE PHYSICIAN
New Jersey Other D02876200 STATE LICENSE PHYSICIAN

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