Provider Demographics
NPI:1528007523
Name:PINEGAR, RICHARD L JR (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:PINEGAR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 DENNISON ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1359
Mailing Address - Country:US
Mailing Address - Phone:978-283-7292
Mailing Address - Fax:
Practice Address - Street 1:64 DENNISON ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-1359
Practice Address - Country:US
Practice Address - Phone:978-283-7292
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50242207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine