Organization
VASCULAR DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M RICHMAND M.D. (PRESIDENT)
(908) 561-9500
Entity
Organization
Contact information
Practice address
1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5516
(908) 561-9710
(908) 561-7162
Mailing address
1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5516
(908) 561-9710
(908) 561-7162
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0398583000
AMERIHEALTH
NJ
05
—
3414400
—
NJ
01
—
DF0146
RAILROAD MEDICARE
NJ
Enumeration date
06/06/2006
Last updated
08/22/2020
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