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Individual

DR. ROBERT RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
RT 16 & GOODRICH FALLS RD, GLEN, NH 03838
(603) 383-9183
(603) 383-4919
Mailing address
PO BOX 549, JACKSON, NH 03846-0549
(603) 383-9183
(603) 383-4919

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
7206
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80009410
NH
Enumeration date
05/04/2007
Last updated
07/08/2007
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