Individual
MICHAEL D RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5100
(671) 972-5439
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35364
MA
207RG0100X
Gastroenterology Physician
Primary
35364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032382
NEIGHBORHOOD HEALTH
MA
05
—
2031841
—
MA
01
—
60068
HARVARD PILGRIM
MA
01
—
705982
TUTTS
MA
01
—
B33440
BLUE CROSS
MA
Enumeration date
06/27/2006
Last updated
09/11/2025
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