Provider Demographics
NPI:1518543198
Name:SZELIGA, RICHARD J (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:SZELIGA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 NEW DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2253
Mailing Address - Country:US
Mailing Address - Phone:732-287-3652
Mailing Address - Fax:732-287-3877
Practice Address - Street 1:905 NEW DURHAM RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2253
Practice Address - Country:US
Practice Address - Phone:732-287-3652
Practice Address - Fax:732-287-3877
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01788600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist