Individual
RICHARD M JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
994 W SHERMAN AVE, BLDG 1, VINELAND, NJ 08360-6937
(856) 696-0900
Mailing address
994 W SHERMAN AVE, BLDG 1, VINELAND, NJ 08360-6937
(856) 696-0900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001155
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438707
—
NJ
Enumeration date
07/07/2005
Last updated
04/04/2014
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