Individual
DR. CHARLES MICHAEL RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WADE AVE, CATONSVILLE, MD 21228-4663
(410) 402-6871
(410) 402-6880
Mailing address
7662 SWEET HOURS WAY, COLUMBIA, MD 21046-2476
(410) 381-2752
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0038459
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53587000
—
MD
Enumeration date
12/13/2005
Last updated
07/08/2007
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