MEDICARE: RICHARD B READ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	8463	ME

General Provider Information

NPI Number	:	1518035450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD B READ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 309
Second Line	:
City	:	STOCKTON SPRINGS
State	:	ME
Zip	:	04981-0309
Country	:	US
Telephone Number	:	207-567-4000
Fax Number	:	207-567-4084

Provider Business Practice Location Address
First Line	:	CAPE JELLISON ROAD
Second Line	:
City	:	STOCKTON SPRINGS
State	:	ME
Zip	:	04981
Country	:	US
Telephone Number	:	207-567-4000
Fax Number	:	207-567-4084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/08/2007

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