Organization
RICHARD H ISRAEL PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H. ISRAEL PHD (OWNER)
(301) 589-3277
Entity
Organization
Contact information
Practice address
2101 MEDICAL PARK DR, SUITE 211, SILVER SPRING, MD 20902-4053
(301) 589-3277
(301) 589-3632
Mailing address
2101 MEDICAL PARK DR, SUITE 211, SILVER SPRING, MD 20902-4053
(301) 589-3277
(301) 589-3632
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
R23587
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1199 0001
CAREFIRST
DC
01
—
188958
MEDICARE
DC
01
—
DR5311
RAILROAD MEDICARE
GA
01
—
L050RH
CAREFIRST
MD
Enumeration date
08/27/2007
Last updated
01/28/2013
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