Individual
CAROLINE R RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2304
(401) 729-2902
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301071372
MI
207Q00000X
Family Medicine Physician
Primary
MD18672
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3493829
—
MI
Enumeration date
10/11/2006
Last updated
09/03/2025
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