Individual
RICHARD B MENASHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15 SO MAIN ST, EDISON, NJ 08837
(732) 906-8866
(732) 906-0124
Mailing address
15 SO MAIN ST, EDISON, NJ 08837
(732) 906-8866
(732) 906-0124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB04647400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047830
—
NJ
01
—
222987240
BCBS OF NJ
—
Enumeration date
11/16/2006
Last updated
07/20/2016
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