Organization
ASSOCIATED PODIATRY GROUP OF LONG BRANCH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PRIMAVERA DPM (PRESIDENT)
(732) 695-6600
Entity
Organization
Contact information
Practice address
200 NORWOOD AVE, SUITE 4, OAKHURST, NJ 07755-1777
(732) 695-6600
(732) 695-6601
Mailing address
200 NORWOOD AVE, SUITE 4, OAKHURST, NJ 07755-1777
(732) 695-6600
(732) 695-6601
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MDO1214
NJ
Other
Enumeration date
06/18/2008
Last updated
04/20/2012
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