Provider Demographics
NPI:1346270774
Name:RICHARDS, ROBERT N JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:N
Last Name:RICHARDS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 S 8TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2755
Mailing Address - Country:US
Mailing Address - Phone:717-414-7798
Mailing Address - Fax:717-414-7942
Practice Address - Street 1:144 S 8TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2755
Practice Address - Country:US
Practice Address - Phone:717-414-7798
Practice Address - Fax:717-414-7942
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022281E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD66379Medicare UPIN
PA0009158170001Medicaid