Provider Demographics
NPI:1720085400
Name:MCARDLE, RICHARD B (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:MCARDLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:31 ROCHE BROS WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1032
Mailing Address - Country:US
Mailing Address - Phone:508-238-0800
Mailing Address - Fax:508-238-0882
Practice Address - Street 1:31 ROCHE BROS WAY
Practice Address - Street 2:STE 100
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1032
Practice Address - Country:US
Practice Address - Phone:508-238-0800
Practice Address - Fax:508-238-0882
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2013-05-23
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Provider Licenses
StateLicense IDTaxonomies
MA34474208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6174329Medicaid
MAA56943Medicare UPIN
MA6174329Medicaid