Individual
A. MICHELE RICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
124 PLEASANT STREET, BERLIN, MA 01503-2070
(978) 771-2343
Mailing address
PO BOX 1070, BERLIN, MA 01503-2070
(978) 771-2343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38517
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101699
MEDICAID/WELFARE
—
01
—
0404598
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
042472266008
TRICARE/CHAMPUS
—
01
—
2105073
FIRST HEALTH
—
01
—
380001952
RAILROAD MEDICARE
—
01
—
45519
HEALTHY START
—
01
—
4582679
AETNA/US HEALTHCARE
—
01
—
4768
FALLON COMMUNITY HLTH PL
—
01
—
784076
MVP HEALTH CARE
—
01
—
AA2365
HARVARD PILGRIM HEALTHCAR
—
01
—
B22015
MEDICARE B
—
Enumeration date
11/15/2005
Last updated
01/08/2018
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