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NPI Code Detail

MEDICARE: DR. RICHARD A. WACHS M.D.

MEDICARE:  DR. RICHARD A. WACHS  M.D.
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
1207KA0200XAllergy Physician25MA075145NJ
2207KA0200XAllergy PhysicianMD2016-0029NM

General Provider Information

NPI Number : 1619922622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD A. WACHS M.D.
Provider Business Mailing Address
First Line : 2555 MERIDIAN BLVD
Second Line : STE 320
City : FRANKLIN
State : TN
Zip : 37067-6670
Country : US
Telephone Number : 615-665-7115
Fax Number : 615-665-8776
Provider Business Practice Location Address
First Line : 4901 LANG AVE NE
Second Line : STE 100
City : ALBUQUERQUE
State : NM
Zip : 87109-4495
Country : US
Telephone Number : 505-883-2574
Fax Number : 505-265-4033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 06/02/2017

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Directions to “ DR. RICHARD A. WACHS M.D.” Practice Location

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