Individual
DR. MICHAEL L. LICHARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 897-3700
(732) 974-0443
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00119100
NJ
363A00000X
Physician Assistant
2697
NY
Other
Enumeration date
03/16/2006
Last updated
01/12/2026
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