Provider Demographics
NPI:1871710624
Name:WORTH, RICHARD L (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:WORTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 STATE ROUTE 36 STE 2R
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1453
Mailing Address - Country:US
Mailing Address - Phone:732-935-9600
Mailing Address - Fax:732-935-9601
Practice Address - Street 1:100 STATE ROUTE 36 STE 2R
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1453
Practice Address - Country:US
Practice Address - Phone:732-935-9600
Practice Address - Fax:732-935-9601
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA071898002084P0804X
NJ25MA0718982084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry