Healthcare Provider Details

I. General information

NPI: 1700879921
Provider Name (Legal Business Name): RICHARD ERIC NAIDS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 SUNSET RD
WILLINGBORO NJ
08046-1109
US

IV. Provider business mailing address

1874 AUTUMN LEAF LN
HUNTINGDON VALLEY PA
19006-1526
US

V. Phone/Fax

Practice location:
  • Phone: 609-877-2800
  • Fax: 609-877-1813
Mailing address:
  • Phone: 215-364-6818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD033798E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: