Provider Demographics
NPI:1841241379
Name:CYTRYN, RICHARD A (MD)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:CYTRYN
Suffix:
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 1:1 ROBERT WOOD JOHNSON PL
Mailing Address - Street 2:MEB-491C
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1928
Mailing Address - Country:US
Mailing Address - Phone:732-235-7157
Mailing Address - Fax:732-235-7032
Practice Address - Street 1:1 ROBERT WOOD JOHNSON PL
Practice Address - Street 2:MEB-491C
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1928
Practice Address - Country:US
Practice Address - Phone:732-235-7157
Practice Address - Fax:732-235-7032
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA60877207RC0000X
NJ25MA06087700207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6352308Medicaid
NJP00150026OtherRAILROAD MEDICARE
NJ6352308Medicaid
NJP00150026OtherRAILROAD MEDICARE