Search › Rhode Island › 183500000X
Justin Richard
NPI 1336424860 · on the registry since 2011
Practice
- Address
- 295 Academy Ave
Providence, RI 02908 - Phone
- (401) 273-7675
- Fax
- (401) 273-4761
- Organisation at this address
- Walgreen Eastern Co Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X - Licence states on file
- RI, MA, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island