Individual
RICHARD A CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 SPRUCE ST, WEST READING, PA 19611-1443
(610) 375-4567
(610) 685-8801
Mailing address
601 SPRUCE ST, WEST READING, PA 19611-1443
(610) 375-4567
(610) 685-8801
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD014713E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007408280001
—
PA
01
—
01530101
CAPITAL B;UE CROSS
PA
01
—
093544
HIGHMARK BLUE SHIELD
PA
01
—
093544R1X
MEDICARE ID
PA
01
—
116567600
US DEPT OF LABOR
PA
01
—
140001335
MEDICARE RAILROAD
PA
01
—
3281544
AETNA HMO
PA
01
—
5431128
AETNA PPO
PA
01
—
5554
HEALTH AMERICA
PA
Enumeration date
04/26/2006
Last updated
09/06/2013
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