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Individual

DR. MARC ERIC RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3959 BROADWAY, COLUMBIA UNI DEPARTMT PEDS, NEW YORK, NY 10032-1559
(212) 304-7250
(121) 254-4197
Mailing address
3959 BROADWAY, COLUMBIA UNI DEPARTMT PEDS, NEW YORK, NY 10032-1559
(212) 304-7250
(121) 254-4197

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
232869
NY
2080P0202X
Pediatric Cardiology Physician
Primary
232869
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02988163
NY
Enumeration date
03/23/2007
Last updated
01/18/2022
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