Healthcare Provider Details

I. General information

NPI: 1285606582
Provider Name (Legal Business Name): RICHARD L WOLBARSHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 HIGHLAND AVE CHARLTON HOSPITAL
FALL RIVER MA
02720-3703
US

IV. Provider business mailing address

363 HIGHLAND AVE CHARLTON HOSPITAL
FALL RIVER MA
02720-3703
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-7398
  • Fax:
Mailing address:
  • Phone: 508-679-7398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number42727
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: