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Contact Information

RICHARD J CHURCH, MD
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-421-1400
 Fax: 508-421-1490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RICHARD J CHURCH · (Male)

NPI Number 1336254390
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 11/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 227863
  • MA Medicaid 110075427A
Hospital affiliation(s)
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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