Individual
RICHARD A RICHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
66 WEST GILBERT ST, REDBANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04481300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1833804
—
NJ
01
—
P00600853
RR MCR PTAN
NJ
Enumeration date
06/22/2005
Last updated
01/13/2009
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