Provider Demographics
NPI:1295748911
Name:RICHTER, FRANK J (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:RICHTER
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:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-0655
Mailing Address - Country:US
Mailing Address - Phone:603-658-1277
Mailing Address - Fax:603-658-1278
Practice Address - Street 1:3 ALUMNI DR
Practice Address - Street 2:STE 204
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2119
Practice Address - Country:US
Practice Address - Phone:603-658-1277
Practice Address - Fax:603-658-1278
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV22579208800000X
NH13053208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2712747Medicaid
WV3810007844Medicaid
WV4202501Medicare ID - Type Unspecified
OH2712747Medicaid
I02374Medicare UPIN
WV3810007844Medicaid
WVP00996811Medicare PIN