Individual
DR. JEFFREY THOMAS RICHARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
789 CENTRAL AVE, ER DEPT, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
PO BOX 845398, BOSTON, MA 02284-5398
(800) 684-1577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13687
NH
207P00000X
Emergency Medicine Physician
OS9052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04Y012041NH01
BCBS THRU SEACOAST ER
NH
05
—
2147785
—
MA
05
—
30226006
—
NH
05
—
432662499
—
ME
01
—
AA98577
HARVARD PILGRIM NH
NH
01
—
P00439148
RAILROAD THRU SEACOAST
NH
Enumeration date
06/27/2007
Last updated
07/18/2012
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