Individual
RICHARD BANACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1203 MORVEN CT, FREEHOLD, NJ 07728-4844
(800) 950-6066
Mailing address
1203 MORVEN CT, FREEHOLD, NJ 07728-4844
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR10391400
NJ
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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