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Individual

DR. MICHAEL O RICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
333 LONGWOOD AVE, FLOOR 5, BOSTON, MA 02115-5711
(617) 355-7181
(617) 730-0004
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-7181
(617) 730-0004

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151205
MA
2080A0000X
Pediatric Adolescent Medicine Physician
151205
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3153230
MA
Enumeration date
11/01/2006
Last updated
08/17/2007
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