Individual
DR. RICHARD J. FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2312 WHITEHORSE MERCERVILLE RD, SUITE 200A, MERCERVILLE, NJ 08619-1953
(609) 587-0049
Mailing address
2312 WHITEHORSE MERCERVILLE RD, MERCERVILLE, NJ 08619-1953
(609) 587-0049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01914200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
979652
UNITED CONCORDIA PROVIDER
PA
Enumeration date
04/04/2007
Last updated
07/08/2007
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