Individual
DR. IVAN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11401700
NJ
208M00000X
Hospitalist Physician
Primary
25MA11401700
NJ
Other
Enumeration date
06/05/2012
Last updated
11/20/2023
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