Individual
RICHA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
216 HADDON AVE, STE 100, HADDON TOWNSHIP, NJ 08108-2809
(856) 429-7512
(856) 429-7104
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA08901100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
MT18890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285749
—
NJ
01
—
3876079000
AMERIHEALTH
NJ
01
—
7447409
CIGNA
NJ
Enumeration date
06/13/2008
Last updated
06/30/2012
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