MEDICARE: RICHARD S WARNER 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
1	207Q00000X	Family Medicine Physician	44681	MA

General Provider Information

NPI Number	:	1578565297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD S WARNER MD

Provider Business Mailing Address
First Line	:	191 LOWER ST
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-9402
Country	:	US
Telephone Number	:	413-625-9300
Fax Number	:	413-625-6007

Provider Business Practice Location Address
First Line	:	191 LOWER ST
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-9402
Country	:	US
Telephone Number	:	413-625-9300
Fax Number	:	413-625-6007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/15/2010

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Directions to “ RICHARD S WARNER MD” Practice Location

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