DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD PRIMAVERA, DPM CWS FACFAOM

Active Sole Proprietor

DR. RICHARD PRIMAVERA, DPM CWS FACFAOM is a Podiatrist healthcare provider located in LONG BRANCH, New Jersey. NPI 1104827914 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · LONG BRANCH, NJ

Registration Details

NPI Number
1104827914
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2005 (21.058014914283 yrs)
Last Updated
Jan 31, 2011
Licenses
MD01214 (NJ)
MD01214 (NJ)
MD01214 (NJ)
MD01214 (NJ)
MD01214 (NJ)
Sole Proprietor
Yes

Practice Information

Address
179 NORWOOD AVE
LONG BRANCH, NJ, 077405403
Browse NJ providers · Browse ZIP 07740
Phone
7322223917
Fax
7322220324
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Public Medicine Podiatrist
Additional Specialty
Radiology Podiatrist
Additional Specialty
Radiology Podiatrist
Additional Specialty
Sports Medicine Podiatrist

Other Podiatrist Providers in LONG BRANCH, NJ

Name Credential NPI
DR. MALINI S SINGH DPM 1538596804
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.