Healthcare Provider Details

I. General information

NPI: 1114034568
Provider Name (Legal Business Name): CONDON ARLETTE RICHARDSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SCHNEIDER REGIONAL MEDICAL CENTER #9048 SUGAR ESTATE
ST. THOMAS VI
00802
US

IV. Provider business mailing address

P.O.BOX 8195
ST. THOMAS VI
00801
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-8311
  • Fax:
Mailing address:
  • Phone: 340-779-1765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number1347
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: