Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD042686L | PA |
NPI | 1114240546 |
---|---|
Provider Name | Dr. Cynthia Hinton Richards |
First Address | Bryn Mawr, PA 19010-3610 |
Second Address | Bryn Mawr, PA 19010-3610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2010 |
Last Update Date | 13/03/2010 |