Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 16376 | NJ |
NPI | 1033148499 |
---|---|
Provider Name | Dr. Richard A. Kaye |
First Address | Moorestown, NJ 08057-1887 |
Second Address | Moorestown, NJ 08057-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 08/07/2007 |