Provider Demographics
NPI:1396457669
Name:HUNT, RICHARD CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CHARLES
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08008-5258
Mailing Address - Country:US
Mailing Address - Phone:678-697-0284
Mailing Address - Fax:
Practice Address - Street 1:503 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SURF CITY
Practice Address - State:NJ
Practice Address - Zip Code:08008-5258
Practice Address - Country:US
Practice Address - Phone:678-697-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA54739207P00000X
GA054739207P00000X
NY209703207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine