Individual
RICHARD DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8815 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2722
(215) 707-5864
(215) 707-6867
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-5864
(215) 707-6867
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD035580E
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD035580E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010904970001
—
PA
Enumeration date
06/13/2006
Last updated
07/08/2016
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