Dr. Timothy John Richardson
Geriatric Medicine
1 Va Ctr Mdp 11
Augusta
, Maine 04330-6719
Dr. Timothy John Richardson
Geriatric Medicine
1 Va Ctr Mdp 11
Augusta
, Maine 04330-6719
(207) 623-5792
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Timothy John Richardson
- 1 Va Center Mdp 11
- Augusta, ME
- Zip : 04330-6719
- Fax : (207) 623-5792
- Phone : (207) 623-5757
Second Address
- Dr. Timothy John Richardson
- 1 Va Ctr Mdp 11
- Augusta, ME
- Zip : 04330-6719
- Fax : (207) 623-5792
- Phone : (207) 623-5757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 00004918 | ME |
National Provider Identifier
| NPI | 1053354753 |
|---|---|
| Provider Name | Dr. Timothy John Richardson |
| First Address | Augusta, ME 04330-6719 |
| Second Address | Augusta, ME 04330-6719 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.