Provider Demographics
NPI:1447329511
Name:NORTH, RICHARD D JR (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:NORTH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1802 11TH ST NW
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5021
Mailing Address - Country:US
Mailing Address - Phone:202-667-0085
Mailing Address - Fax:888-287-0010
Practice Address - Street 1:1802 11TH ST NW
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5021
Practice Address - Country:US
Practice Address - Phone:202-667-0085
Practice Address - Fax:888-287-0010
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD 25633207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC160494Medicare ID - Type Unspecified
DCC62116Medicare UPIN