Individual
DR. ALLEN C RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3998 RED LION RD STE 302, PHILADELPHIA, PA 19114-1441
(215) 824-1717
(215) 281-0759
Mailing address
3998 RED LION RD STE 302, PHILADELPHIA, PA 19114-1441
(215) 824-1717
(215) 281-0759
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD014588E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006169250001
—
PA
01
—
0053147000
KEYSTONE
—
01
—
3341
AETNA
—
Enumeration date
02/08/2006
Last updated
08/24/2020
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