Healthcare Provider Details

I. General information

NPI: 1780821041
Provider Name (Legal Business Name): ROBERT ALAN RICHMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 01/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 MAIN AVE SUITE 1D
CLIFTON NJ
07011-2252
US

IV. Provider business mailing address

1187 MAIN AVE SUITE 1D
CLIFTON NJ
07011-2252
US

V. Phone/Fax

Practice location:
  • Phone: 973-478-5080
  • Fax: 973-478-4301
Mailing address:
  • Phone: 973-478-5080
  • Fax: 973-478-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00357900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number38MC00357900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: