Individual
JOSEPH L RICHERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 501, PHILADELPHIA, PA 19114-1025
(215) 671-4280
(215) 464-9034
Mailing address
9501 ROOSEVELT BLVD, SUITE 501, PHILADELPHIA, PA 19114-1025
(215) 671-4280
(215) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD045583-L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD045583L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014226770006
—
PA
Enumeration date
07/21/2005
Last updated
01/31/2012
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