Provider Demographics
NPI:1164585279
Name:RUMAGE, RICHARD G JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:G
Last Name:RUMAGE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:113 RIVER RD APT B3
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3520
Mailing Address - Country:US
Mailing Address - Phone:973-542-0650
Mailing Address - Fax:732-346-1999
Practice Address - Street 1:95 NEWFIELD AVE STE B
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3824
Practice Address - Country:US
Practice Address - Phone:732-346-1333
Practice Address - Fax:732-346-1999
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02317500183500000X
NY20049615183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist