Individual
MICHELLE L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 TOTMAN STREET STE 2, QUINCY, MA 02169
(617) 745-0050
(617) 745-0052
Mailing address
21 TOTMAN STREET STE 2, QUINCY, MA 02169
(617) 745-0050
(617) 745-0052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
215884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061040
—
MA
01
—
AA13696
HPHC
MA
01
—
J26819
BCBS
MA
Enumeration date
04/08/2006
Last updated
06/30/2008
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