Medina, Richard A.
Medina, Richard A. is an sole proprietor health care provider with primary practice located at 3840 Park Ave Suite 101, Edison NJ 08820-2563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Medina, Richard A. can be contacted via phone (732) 549-4747.Contact Information
Primary practice address
3840 Park Ave Suite 101
Edison NJ 08820-2563
Phone: (732) 549-4747
Fax: (732) 549-6132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MA045789 | New Jersey |
Profile Details
| NPI number | 1598866428 |
|---|---|
| LBN Legal business name | Medina, Richard A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jan 28th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598866428 | NPPES |
| New Jersey | MEDICAID | 3353303 |
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