MEDICARE: DR. RICHARD EVAN WERMAN DO

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	2085R0202X	Diagnostic Radiology Physician	0008389	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1992786578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD EVAN WERMAN DO

Provider Business Mailing Address
First Line	:	PO BOX 697
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-0697
Country	:	US
Telephone Number	:	609-463-2755
Fax Number	:	609-463-2757

Provider Business Practice Location Address
First Line	:	4011 ROUTE 9 S
Second Line	:
City	:	RIO GRANDE
State	:	NJ
Zip	:	08242-1916
Country	:	US
Telephone Number	:	609-886-0477
Fax Number	:	609-886-0529

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	01/15/2014

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