Jay, Richard M

Jay, Richard M is an individual health care provider with primary practice located at 994 W Sherman Ave Bldg 1, Vineland NJ 08360-6937. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Jay, Richard M can be contacted via phone (856) 696-0900.

Contact Information

Primary practice address
994 W Sherman Ave Bldg 1 Vineland NJ 08360-6937
Phone: (856) 696-0900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 001155 New Jersey

Profile Details

NPI number 1649277583
LBN Legal business name Jay, Richard M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 4th, 2014 - about 12 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 1649277583 NPPES
New Jersey MEDICAID 0438707

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