Individual
MAUREEN L RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
63 CRESTMONT RD, WEST ORANGE, NJ 07052-1626
(914) 204-1455
Mailing address
63 CRESTMONT RD, WEST ORANGE, NJ 07052-1626
(914) 204-1455
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
26NJ01059900
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ01059900
NJ
363LC1500X
Community Health Nurse Practitioner
Primary
26NJ01059900
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01059900
NJ
Other
Enumeration date
05/24/2021
Last updated
03/26/2022
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