Doctor Name: | DR. RICHARD D. KRIKORIAN |
NPI Number: | 1831195254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 40038 |
Business Practice Address: | 300 Mount Auburn St Suite 313 Cambridge, MA - 021385600 |
Business Phone Number: | 6174910472 |
Business Fax Number: | 6174971511 |
Mailing Address: | 300 Mount Auburn St, Suite 313 CAMBRIDGE |
State: | MA |
Postal Code: | 021385600 |
Phone Number: | 6174910472 |
Fax Number: | 6174971511 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |