Individual
RICK A RAIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 YOUNG AVE, SUITE 245, MOORESTOWN, NJ 08057-3130
(609) 267-9400
(609) 288-6446
Mailing address
4 EVES DR # A, SUITE 100, MARLTON, NJ 08053-3195
(609) 267-9400
(609) 288-6446
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA69344
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000901220
HIGHMARK BLUE SHIELD ID
NJ
01
—
0808540000
AMERIHEALTH HMO ID
NJ
Enumeration date
05/24/2006
Last updated
04/22/2015
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