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Individual

MAURICE P RICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
1461 ROTHLEY AVE, WILLOW GROVE, PA 19090-4817
(215) 439-5563
Mailing address
1461 ROTHLEY AVE, WILLOW GROVE, PA 19090-4817
(215) 439-5563

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT003763L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001273601
PROVIDER NUMBER
PA
Enumeration date
11/09/2007
Last updated
05/12/2025
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