Individual
RICHARD O. ADDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8415 BELLONA LN, SUITE 216, TOWSON, MD 21204-2055
(410) 821-5444
(410) 821-5515
Mailing address
8607 TRAIL VIEW DR, ELLICOTT CITY, MD 21043-6082
(410) 465-1887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0059283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61878603
BCBS
MD
01
—
P00110703
RAILROAD
MD
Enumeration date
03/24/2006
Last updated
07/08/2007
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