Organization
ELISABETH G. RICHARD, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH G. RICHARD M.D. (PHYSICIAN, DIRECTOR, PRESIDENT)
(410) 847-3700
Entity
Organization
Contact information
Practice address
10753 FALLS RD, SUITE 355, PAVILION II, LUTHERVILLE, MD 21093-4535
(410) 847-3700
(410) 847-3703
Mailing address
10753 FALLS RD, SUITE 355, PAVILION II, LUTHERVILLE, MD 21093-4535
(410) 847-3700
(410) 847-3703
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0062684
MD
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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