Provider Demographics
NPI:1689613663
Name:ALAN RICHMAN MD PA
Entity Type:Organization
Organization Name:ALAN RICHMAN MD PA
Other - Org Name:MUNROE PATHOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT MUNROE PATHOLOGY ASSOCIAT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:RICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-351-7263
Mailing Address - Street 1:PO BOX 63069
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29419-3069
Mailing Address - Country:US
Mailing Address - Phone:843-569-8409
Mailing Address - Fax:843-569-8509
Practice Address - Street 1:1500 SW 1ST AVENUE
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4004
Practice Address - Country:US
Practice Address - Phone:352-351-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
21705Medicare ID - Type Unspecified