Individual
RICHARD I CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
1721 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3119
(410) 523-2121
Mailing address
PO BOX 374, MONKTON, MD 21111-0374
(443) 522-9479
(443) 522-9725
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00887
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357668000
—
MD
01
—
T041
BLUE CROSS BLUE SHIELD
MD
Enumeration date
03/14/2007
Last updated
01/14/2009
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