Individual
DR. TIMOTHY JOHN RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 VA CTR, MDP 11, AUGUSTA, ME 04330-6719
(207) 623-5757
(207) 623-5792
Mailing address
1 VA CENTER, MDP 11, AUGUSTA, ME 04330-6719
(207) 623-5757
(207) 623-5792
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
00004918
ME
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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