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NPI Code Detail

MEDICARE: RICHARD NG MD

MEDICARE: RICHARD NG MD
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
1174400000XSpecialist57765MA

General Provider Information

NPI Number : 1780737957
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD NG MD
Provider Business Mailing Address
First Line : 107 LINCOLN ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2401
Country : US
Telephone Number : 508-799-9000
Fax Number : 508-453-3107
Provider Business Practice Location Address
First Line : 107 LINCOLN ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2401
Country : US
Telephone Number : 508-799-9000
Fax Number : 508-453-3107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 12/10/2009

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Directions to “ RICHARD NG MD” Practice Location

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