Provider Demographics
NPI:1336217819
Name:RICHARDSON, JAMES PAUL (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:RICHARDSON
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:900 CATON AVE
Mailing Address - Street 2:DEPARTMENT OF MEDICINE, SIXTH FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5201
Mailing Address - Country:US
Mailing Address - Phone:410-368-8979
Mailing Address - Fax:410-368-3525
Practice Address - Street 1:900 CATON AVE
Practice Address - Street 2:DEPARTMENT OF MEDICINE, SIXTH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:410-368-8979
Practice Address - Fax:410-368-3525
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0027394207QG0300X
MDD273942083P0901X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD27101Medicare UPIN