Individual
JOHN FRANKLIN RICHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
127737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040003101
UNIVERA
NY
05
—
00383500
—
NY
01
—
005243081
BC/BS OF WESTERN NY
NY
01
—
060020565
MEDICARE RAILROAD
NY
01
—
2190634
INDEPENDENT HEALTH
NY
01
—
6326
BLUE SHIELD
NY
01
—
7494261
AETNA
NY
01
—
NY0018001
CHAMPUS
NY
01
—
P010127737
BLUE CHOICE
NY
Enumeration date
06/13/2006
Last updated
08/29/2011
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