Provider Demographics
NPI:1316108517
Name:RICHARD EICHEL, MD LLC
Entity type:Organization
Organization Name:RICHARD EICHEL, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-530-3228
Mailing Address - Street 1:180 WHITE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1166
Mailing Address - Country:US
Mailing Address - Phone:732-530-3228
Mailing Address - Fax:732-224-0144
Practice Address - Street 1:180 WHITE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1166
Practice Address - Country:US
Practice Address - Phone:732-530-3228
Practice Address - Fax:732-224-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMOA4251500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty