Provider Demographics
NPI:1407981533
Name:DR RICHARD H ROWE AND PAUL R QUINTAVALLE
Entity Type:Organization
Organization Name:DR RICHARD H ROWE AND PAUL R QUINTAVALLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR OF PODIATRI
Authorized Official - Phone:856-858-0180
Mailing Address - Street 1:879 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:08108
Mailing Address - Country:US
Mailing Address - Phone:856-858-0180
Mailing Address - Fax:856-869-8030
Practice Address - Street 1:879 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NY
Practice Address - Zip Code:08108
Practice Address - Country:US
Practice Address - Phone:856-858-0180
Practice Address - Fax:856-869-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD000095400213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty