Individual
AMANNDA L RICHLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM, PC
Contact information
Practice address
4 GREENWICH ST, BELVIDERE, NJ 07823-1421
(908) 475-8750
Mailing address
4 GREENWICH ST, BELVIDERE, NJ 07823-1421
(908) 475-8750
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD02394
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480032339
RAIL ROAD
NJ
01
—
7691693
CIGNA
NJ
Enumeration date
03/23/2006
Last updated
10/12/2010
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