Provider Demographics
NPI:1962493031
Name:FRANKLIN, RICHARD PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PHILIP
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 VALLEY HI CT
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-1435
Mailing Address - Country:US
Mailing Address - Phone:410-252-8524
Mailing Address - Fax:410-356-5237
Practice Address - Street 1:21 CROSSROADS DR
Practice Address - Street 2:SUITE 215
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5441
Practice Address - Country:US
Practice Address - Phone:410-363-0044
Practice Address - Fax:410-363-0447
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD36132174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE71186Medicare UPIN
KN28KK27Medicare PIN