Individual
DR. MAURICE H RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
0101050101
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010381240
—
VA
Enumeration date
02/28/2006
Last updated
06/28/2021
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