Individual
DR. LORI TIERNO RICHWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3110 OCEAN HEIGHTS AVE, STE 1, EGG HARBOR TOWNSHIP, NJ 08234-7734
(609) 927-9555
(609) 926-8902
Mailing address
3110 OCEAN HEIGHTS AVE, STE 1, EGG HARBOR TOWNSHIP, NJ 08234-7734
(609) 927-9555
(609) 926-8902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB55121
NJ
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
25MB05512100
NJ
Other
Enumeration date
01/06/2007
Last updated
10/17/2019
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