Individual
DR. RICHARD M GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
312 MORRIS AVE, SPRING LAKE, NJ 07762-1339
(732) 974-7755
Mailing address
413 WASHINGTON BLVD, SEA GIRT, NJ 08750-3013
(732) 974-0218
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MCOO126400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2448000
AETNA PROVIDER NUMBER
NJ
Enumeration date
03/28/2007
Last updated
07/08/2007
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