Individual
DR. ANDREA TELAK RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 339-7870
Mailing address
3708 CRICKET CIR, EDISON, NJ 08820-4215
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA08150600
NJ
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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