Rich, Michael O

Rich, Michael O is an individual health care provider with primary practice located at 333 Longwood Ave Floor 5, Boston MA 02115-5711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Rich, Michael O can be contacted via phone (617) 355-7181.

Contact Information

Primary practice address
333 Longwood Ave Floor 5 Boston MA 02115-5711
Phone: (617) 355-7181
Fax: (617) 730-0004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 151205 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 151205 Massachusetts

Profile Details

NPI number 1700963337
LBN Legal business name Rich, Michael O
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 17th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700963337 NPPES
Massachusetts MEDICAID 3153230

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