DR. Richard Primavera, DPM CWS FACFAOM

NPI #1104827914 in Long Branch, New Jersey

Provider Information

NPI Number: 1104827914
Entity Type: Individual
Name: DR. Richard Primavera, DPM CWS FACFAOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM CWS FACFAOM
Enumeration Date: Aug 2, 2005
Last Updated: Jan 31, 2011

Practice Location

Address: 179 NORWOOD AVE
City: Long Branch
State: New Jersey
ZIP Code: 07740-5403
Phone: (732) 222-3917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Public Medicine — Public Medicine	213EP0504X
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Radiology — Radiology	213ER0200X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X

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