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NPI Code Detail

MEDICARE: RICHARD A. BOOTHBY MD

MEDICARE: RICHARD A. BOOTHBY 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
1207VX0201XGynecologic Oncology PhysicianME0038681FL
2207VX0201XGynecologic Oncology Physician042-0014870VT
3207VX0201XGynecologic Oncology Physician0101272965VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376548354
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD A. BOOTHBY MD
Provider Business Mailing Address
First Line : PO BOX 780125
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-0125
Country : US
Telephone Number : 804-922-4844
Fax Number :
Provider Business Practice Location Address
First Line : 1001 E LEIGH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23298-5004
Country : US
Telephone Number : 804-828-9080
Fax Number : 804-828-3891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/04/2024

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Directions to “ RICHARD A. BOOTHBY MD” Practice Location

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