SearchNew Jersey101Y00000X

Richard Medina, LAC

NPI 1164132049 · on the registry since 2022

Practice

Address
9 Euclid Ave
Ridgefield Park, NJ 07660
Phone
(201) 304-8716

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey