Basic Information
Provider Information
NPI: 1891725511
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEUMAN
FirstName: WILLAM
MiddleName: RICHET
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3624 MARKET ST
Address2: SUITE 560W
City: PHILADELPHIA
State: PA
PostalCode: 191042614
CountryCode: US
TelephoneNumber: 2156622286
FaxNumber: 2156150500
Practice Location
Address1: 51 N 39TH ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191042640
CountryCode: US
TelephoneNumber: 2156629990
FaxNumber: 2152433497
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD0625990PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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