Provider Demographics
NPI:1699951467
Name:RICHANE, ABDERRAHMANE (MD)
Entity type:Individual
Prefix:MR
First Name:ABDERRAHMANE
Middle Name:
Last Name:RICHANE
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 1:101B GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1752
Mailing Address - Country:US
Mailing Address - Phone:626-757-8460
Mailing Address - Fax:
Practice Address - Street 1:650 RANCOCAS RD
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060
Practice Address - Country:US
Practice Address - Phone:609-267-7000
Practice Address - Fax:609-518-2140
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program