MEDICARE: DR. JAMES J. RICHE D.V.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	29VI00338300	NJ

General Provider Information

NPI Number	:	1134454168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J. RICHE D.V.M.

Provider Business Mailing Address
First Line	:	56 SCHOOLHOUSE RD
Second Line	:	SUITE A-1
City	:	WHITING
State	:	NJ
Zip	:	08759-3052
Country	:	US
Telephone Number	:	732-849-1989
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 SCHOOLHOUSE RD
Second Line	:	SUITE A-1
City	:	WHITING
State	:	NJ
Zip	:	08759-3052
Country	:	US
Telephone Number	:	732-849-1989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2009
Last Update Date	:	10/08/2009

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