Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD20866 | ME |
N | 111NI0900X | Internist | MD20866 | ME |
N | 207RR0500X | Rheumatology | 0101232581 | VA |
N | 207RR0500X | Rheumatology | 239253 | MA |
N | 207RR0500X | Rheumatology | 47412 | CT |
N | 207RR0500X | Rheumatology | D0026763 | MD |
N | 207RR0500X | Rheumatology | MD026139E | PA |
Y | 207RR0500X | Rheumatology | MD20866 | ME |
NPI | 1033267711 |
---|---|
Provider Name | Richard Jay Raskin |
First Address | Augusta, ME 04330-7998 |
Second Address | Augusta, ME 04330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 16/08/2018 |