1922006626 NPI number — DR. RICHARD HOWARD CHARNEY M.D.

Table of content: TIMOTHY DEWAYNE CORDELL (NPI 1720629884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922006626 NPI number — DR. RICHARD HOWARD CHARNEY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHARNEY
Provider First Name:
RICHARD
Provider Middle Name:
HOWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922006626
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 NEWTOWN RD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
WARMINSTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18974-5275
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-674-0301
Provider Business Mailing Address Fax Number:
215-674-9953

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 W ELM ST
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
CONSHOHOCKEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19428-4108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-674-0301
Provider Business Practice Location Address Fax Number:
215-674-9953
Provider Enumeration Date:
07/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  MD012588E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0005992430001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com