Richmond, Michael D

Richmond, Michael D is an individual health care provider with primary practice located at 485 Arsenal St , Watertown MA 02472-5091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Richmond, Michael D can be contacted via phone (617) 972-5100.

Contact Information

Primary practice address
485 Arsenal St Watertown MA 02472-5091
Fax: (671) 972-5439
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35364 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35364 Massachusetts

Profile Details

NPI number 1285661892
LBN Legal business name Richmond, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 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 1285661892 NPPES
Massachusetts Other 705982 TUTTS
Massachusetts Other B33440 TUTTS
Massachusetts Other 60068 TUTTS
Massachusetts Other 0032382 TUTTS
Massachusetts MEDICAID 2031841 TUTTS

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