Individual
DR. BETHANY ANN RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6200
(215) 456-6227
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
217316
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD483262
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101416
—
MA
01
—
J28602
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
01/17/2025
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