RICHARD V TEA

PASSAIC, NJ
NPI1386673655
Former NameVICHET TEA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NJ  25MP00056200)
Enumeration Date2006-06-30
Last Update Date2011-11-19
Business Address
Mr. RICHARD V TEA PA-C
350 BOULEVARD CT SURGERY DEPT
PASSAIC, NJ 07055
Phone number: 973-365-4567
Mailing Address
Mr. RICHARD V TEA PA-C
2 CONTINENTAL CIR
TOTOWA, NJ 07512-2191
Phone number: 201-780-7582
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