Individual
KRISTEN R RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8086
(774) 441-8071
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
283524
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
283524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110126425A
—
MA
Enumeration date
03/23/2017
Last updated
07/19/2024
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