Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | D0027394 | MD |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | D27394 | MD |
NPI | 1336217819 |
---|---|
Provider Name | Dr. James Paul Richardson |
First Address | Baltimore, MD 21229-5201 |
Second Address | Baltimore, MD 21229-5201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 24/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D27101 | (02) | MD |