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CHARLES M RICHWINE IV DO LORI TIERNO RICHWINE DO PC NPI 1891846895


NPI Information

NPI: 1891846895
Provider Name: CHARLES M RICHWINE IV DO, LORI TIERNO RICHWINE DO PC

Doing Business As: HARBOR FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D0721424

Address:
3110 OCEAN HEIGHTS AVE
EGG HARBOR TOWNSHIP, NJ
ZIP 08234
Phone: (609) 927-9555
Get Directions

CHARLES M RICHWINE IV DO, LORI TIERNO RICHWINE DO PC is a family medicine in Egg Harbor Township, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES M RICHWINE IV DO, LORI TIERNO RICHWINE DO PC NPI is 1891846895. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Harbor Family Medicine.

The provider's business location address is:

3110 OCEAN HEIGHTS AVE
EGG HARBOR TOWNSHIP, NJ
ZIP 08234-734
Phone: (609) 927-9555
Fax: (609) 926-8902

The provider's authorized official is Patricia A Gonzalez .
The authorized official title is Billing Manager and has the following contact phone number (609) 927-9555.

The CLIA number assigned to this NPI record is 31D0721424 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 5/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMB54693NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1082435MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYGROUP
2E98434MEDICARE UPINNEW JERSEY
3E98435MEDICARE UPINNEW JERSEY
4686924S22MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
5686908S22MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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