Individual
DR. RICHARD CHRISTIAN HABERSAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MOUNT CARMEL RD, SUITE 500, PARKTON, MD 21120-9706
(410) 343-1020
(410) 343-2494
Mailing address
111 MT CARMEL ROAD, PARKTON, MD 21120
(410) 343-1020
(410) 343-2494
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
D18822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258171000
—
MD
Enumeration date
09/01/2005
Last updated
06/04/2010
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