Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 25MD00143700 | NJ |
N | 213ES0103X | Foot & Ankle Surgery | 25MD00143700 | NJ |
NPI | 1588691059 |
---|---|
Provider Name | Dr. Richard Munoz |
First Address | Dover, NJ 07801-2559 |
Second Address | Dover, NJ 07801-2559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T45209 | (02) | NJ |