Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MB046837 | NJ |
NPI | 1023088390 |
---|---|
Provider Name | Joann Richichi |
First Address | Voorhees, NJ 08043-0536 |
Second Address | Sewell, NJ 08080-4002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 21/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E22096 | (02) | NJ |