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1699773473

NPI Code Detail

MEDICARE: DR. ALISHIA ANN RICHIE MD

MEDICARE: DR. ALISHIA ANN RICHIE 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	207R00000X	Internal Medicine Physician	MD42086	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	093399	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	60059975	OTHER	NJ	HORIZON NJ HEALTH
3	204133180	OTHER	NJ	UNITED HEALTH CARE CCP

General Provider Information

NPI Number	:	1699773473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISHIA ANN RICHIE MD

Provider Business Mailing Address
First Line	:	2476 SWEDESFORD RD STE 150
Second Line	:
City	:	MALVERN
State	:	PA
Zip	:	19355-1456
Country	:	US
Telephone Number	:	844-902-2345
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 N DELAWARE AVE STE 800
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-4338
Country	:	US
Telephone Number	:	267-463-5800
Fax Number	:

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	02/12/2019

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Directions to “ DR. ALISHIA ANN RICHIE MD” Practice Location

Language	Start Address	Practice Location

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