Individual
RICHARD OWEN DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
200 BOYDEN AVE APT 127, MAPLEWOOD, NJ 07040-2486
(212) 662-7916
Mailing address
200 BOYDEN AVE APT 127, MAPLEWOOD, NJ 07040-2486
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
512737
NY
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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