Provider Demographics
NPI:1548244494
Name:RICHARDS, CHRISTINE PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:PATRICIA
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8110 MAPLE LAWN BLVD
Mailing Address - Street 2:STE 235
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2693
Mailing Address - Country:US
Mailing Address - Phone:240-485-3088
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:7625 MAPLE LAWN BLVD
Practice Address - Street 2:STE 1 LOWER LOBBY
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2565
Practice Address - Country:US
Practice Address - Phone:410-531-0818
Practice Address - Fax:410-531-0818
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0045714207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD994LMedicare UPIN
MD994L1385Medicare PIN
MDF97130Medicare UPIN