Organization
ASSOCIATED PODIATRY GROUP OF LONG BRANCH, PA
Active
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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