Provider Demographics
NPI:1003055518
Name:RICHARDS, PATRICIA TEWES (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:TEWES
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:ALLISON TEWES
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:22 AVE AT PORT IMPERIAL APT 114
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-7801
Mailing Address - Country:US
Mailing Address - Phone:201-863-3014
Mailing Address - Fax:
Practice Address - Street 1:22 AVE AT PORT IMPERIAL APT 114
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-7801
Practice Address - Country:US
Practice Address - Phone:201-863-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-08
Last Update Date:2009-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08507900207LP2900X
NY212835-1207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine