Individual
DR. RICHARD PRIMAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM CWS FACFAOM
Contact information
Practice address
179 NORWOOD AVE, LONG BRANCH, NJ 07740-5403
(732) 222-3917
(732) 222-0324
Mailing address
50 REDWOOD DR, OCEAN, NJ 07712-8702
(732) 610-4885
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01214
NJ
213EP0504X
Public Medicine Podiatrist
MD01214
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
MD01214
NJ
213ER0200X
Radiology Podiatrist
MD01214
NJ
213ES0000X
Sports Medicine Podiatrist
MD01214
NJ
213ES0131X
Foot Surgery Podiatrist
MD01214
NJ
Other
Enumeration date
08/02/2005
Last updated
01/31/2011
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