Individual
DR. RICHARD MARK LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE # FD-407, BOSTON, MA 02215-5400
(617) 667-9501
Mailing address
150 BROOKLINE AVE UNIT 402, BOSTON, MA 02215-3931
(607) 279-9256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
236752
MA
207L00000X
Anesthesiology Physician
BP10029238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4656869634
MYUTMB 4656869634
—
Enumeration date
08/05/2007
Last updated
10/01/2008
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