Basic Information
Provider Information
NPI: 1699771923
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REICHARD
FirstName: RITA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5730 EXECUTIVE DR STE 230
Address2:  
City: CATONSVILLE
State: MD
PostalCode: 212281762
CountryCode: US
TelephoneNumber: 2154433850
FaxNumber: 2154433963
Practice Location
Address1: 10000 ANNS CHOICE WAY
Address2:  
City: WARMINSTER
State: PA
PostalCode: 189743527
CountryCode: US
TelephoneNumber: 2154433850
FaxNumber: 2154433963
Other Information
ProviderEnumerationDate: 06/22/2005
LastUpdateDate: 11/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300XMD052297LPAY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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