Individual
MR. CALEB J RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
214 CHURCH ST, CARTHAGE, NY 13619-1212
(315) 493-0128
(315) 493-6200
Mailing address
18086 GOODNOUGH ST, ADAMS CENTER, NY 13606-2257
(315) 778-3955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010685
NY
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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