1689613663 NPI number — ALAN RICHMAN MD PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689613663 NPI number — ALAN RICHMAN MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAN RICHMAN MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MUNROE PATHOLOGY ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689613663
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 63069
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29419-3069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-569-8409
Provider Business Mailing Address Fax Number:
843-569-8509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 SW 1ST AVENUE
Provider Second Line Business Practice Location Address:
DEPT OF PATHOLOGY
Provider Business Practice Location Address City Name:
OCALA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34474-4004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-351-7200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RICHMAN
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
V
Authorized Official Title or Position:
PRESIDENT MUNROE PATHOLOGY ASSOCIAT
Authorized Official Telephone Number:
352-351-7263

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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