Provider Demographics
NPI:1922364231
Name:RICHMAN, DANIELLE MARTIN (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARTIN
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:LYNN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MS
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:DEPT OF RADIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPT OF RADIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-5938
Practice Address - Fax:617-264-5250
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2585622085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology