Provider Demographics
NPI:1417906223
Name:MCNEER, RICHARD MASON III (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MASON
Last Name:MCNEER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:42 BROOKFORD ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1603
Mailing Address - Country:US
Mailing Address - Phone:617-491-3989
Mailing Address - Fax:781-306-5227
Practice Address - Street 1:26 CITY HALL MALL
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4754
Practice Address - Country:US
Practice Address - Phone:781-306-5298
Practice Address - Fax:781-306-5227
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA49115207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3180441Medicaid
MAB30171Medicare ID - Type Unspecified
MA3180441Medicaid