Individual
DR. JOHN B RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 N CHARLES ST, SUITE #4430, TOWSON, MD 21204
(443) 849-6212
(410) 377-4322
Mailing address
PO BOX 253, RIDERWOOD, MD 21139
(410) 598-8779
(410) 377-4322
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0018442
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308571600
—
MD
01
—
34873005
CAREFIRST BCBS
MD
01
—
R5250004
CAREFIRST BCBS
DC
01
—
R5250004
CAREFIRST BCBS
MD
Enumeration date
10/20/2006
Last updated
04/08/2010
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