Provider Demographics
NPI:1568089399
Name:RICHIE, THOMAS LAURENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LAURENCE
Last Name:RICHIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4053 HOBBS HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLENELG
Mailing Address - State:MD
Mailing Address - Zip Code:21737-9521
Mailing Address - Country:US
Mailing Address - Phone:301-466-7943
Mailing Address - Fax:
Practice Address - Street 1:9800 MEDICAL CENTER DR STE A209
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6395
Practice Address - Country:US
Practice Address - Phone:301-770-3222
Practice Address - Fax:301-770-5554
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-27
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0041172207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease