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Individual

DR. RICHARD BACHARACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4801 DORSEY HALL DR, SUITE 200, ELLICOTT CITY, MD 21042
(410) 715-1180
(410) 715-1182
Mailing address
4801 DORSEY HALL DR, SUITE 200, ELLICOTT CITY, MD 21042
(410) 715-1180
(410) 715-1182

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0021489
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D0021489
MD

Other

Enumeration date
07/31/2006
Last updated
02/25/2008
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