Provider Demographics
NPI:1265112171
Name:WATKINS, RICHARD M
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:M
Last Name:WATKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 S GREAT RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-4701
Mailing Address - Country:US
Mailing Address - Phone:508-416-6026
Mailing Address - Fax:
Practice Address - Street 1:526 BOSTON POST RD STE 2
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-1840
Practice Address - Country:US
Practice Address - Phone:508-416-6026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor