Organization
CHARLES M RICHWINE IV DO, LORI TIERNO RICHWINE DO PC
Active
Other names
HARBOR FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A GONZALEZ (BILLING MANAGER)
(609) 927-9555
Entity
Organization
Contact information
Practice address
3110 OCEAN HEIGHTS AVE, EGG HARBOR TOWNSHIP, NJ 08234-7734
(609) 927-9555
(609) 926-8902
Mailing address
3110 OCEAN HEIGHTS AVE, EGG HARBOR TOWNSHIP, NJ 08234-7734
(609) 927-9555
(609) 926-8902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB54693
NJ
Other
Enumeration date
01/16/2007
Last updated
05/20/2011
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