Provider Demographics
NPI:1154381093
Name:RICH, JAMES FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:FRANCIS
Last Name:RICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:425 N 21ST ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2223
Mailing Address - Country:US
Mailing Address - Phone:717-695-0236
Mailing Address - Fax:717-695-4239
Practice Address - Street 1:425 N 21ST ST
Practice Address - Street 2:SUITE 406
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2223
Practice Address - Country:US
Practice Address - Phone:717-695-0236
Practice Address - Fax:717-695-4239
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD036930L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C27704Medicare UPIN
PA020829Medicare ID - Type Unspecified