Provider Demographics
NPI:1992351399
Name:RICHARD SENZER MD LLC
Entity type:Organization
Organization Name:RICHARD SENZER 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:P
Authorized Official - Last Name:SENZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-689-8246
Mailing Address - Street 1:279 STATE ROUTE 31 S STE 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4099
Mailing Address - Country:US
Mailing Address - Phone:908-689-8246
Mailing Address - Fax:908-689-8202
Practice Address - Street 1:279 STATE ROUTE 31 S STE 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4099
Practice Address - Country:US
Practice Address - Phone:908-689-8246
Practice Address - Fax:908-689-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-13
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty