Provider Demographics
NPI:1497799480
Name:FOX, RICHARD STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STUART
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P O BOX 843451
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3451
Mailing Address - Country:US
Mailing Address - Phone:508-995-2226
Mailing Address - Fax:508-995-8788
Practice Address - Street 1:300A FAUNCE CORNER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1257
Practice Address - Country:US
Practice Address - Phone:508-995-2226
Practice Address - Fax:508-995-8788
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54657208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6196802Medicaid
MA000000024395OtherBMC
MA21030OtherHARVARD PILGRIM
MA716100OtherTUFTS
MA716100OtherTUFTS
MAJ04822Medicare ID - Type Unspecified