Individual
MICHAEL P RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 425-5446
(508) 425-5951
Mailing address
5 NEPONSET ST, WOT 2ND FL, STE C203, WORCESTER, MA 01606-2714
(508) 425-5446
(508) 425-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1171
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124109A
—
MA
Enumeration date
01/09/2006
Last updated
05/20/2019
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