Healthcare Provider Details
I. General information
NPI: 1972543049
Provider Name (Legal Business Name): JOSIAH D RICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1125 N MAIN ST
PROVIDENCE RI
02904-5739
US
IV. Provider business mailing address
15 LA SALLE SQ
PROVIDENCE RI
02903-1814
US
V. Phone/Fax
- Phone: 401-793-2928
- Fax:
- Phone: 401-444-6779
- Fax: 401-444-6912
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | MD08701 |
| License Number State | RI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD08701 |
| License Number State | RI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: