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NPI Code Detail

MEDICARE: RAYMOND JOSEPH BYRD MD

MEDICARE: RAYMOND JOSEPH BYRD MD
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
1207Q00000XFamily Medicine PhysicianMA30765NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235127994
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND JOSEPH BYRD MD
Provider Business Mailing Address
First Line : 384 COUNTY ROAD 513
Second Line :
City : CALIFON
State : NJ
Zip : 07830-4158
Country : US
Telephone Number : 908-832-2125
Fax Number : 908-832-6149
Provider Business Practice Location Address
First Line : 384 COUNTY ROAD 513
Second Line :
City : CALIFON
State : NJ
Zip : 07830-4158
Country : US
Telephone Number : 908-832-2125
Fax Number : 908-832-6149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 07/08/2007

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