Provider Demographics
NPI:1194994988
Name:RICHARD B REFF, M.D., P.A.
Entity type:Organization
Organization Name:RICHARD B REFF, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:REFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-571-6162
Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-7819
Mailing Address - Country:US
Mailing Address - Phone:301-571-6162
Mailing Address - Fax:301-571-6164
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-7819
Practice Address - Country:US
Practice Address - Phone:301-571-6162
Practice Address - Fax:301-571-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028698332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0286860001Medicare NSC