IndividualActive
Richard Habersat, M.D.
NPI 1336133545 · Adolescent Medicine (Internal Medicine) Physician · Parkton, MD
Provider details
- NPI number
- 1336133545
- Entity type
- Individual
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D18822 (MD)
Practice location
111 Mount Carmel Rd
Suite 500
Parkton, MD 21120-9706
Phone: (410) 343-1020
Fax: (410) 343-2494
Mailing address
111 Mt Carmel Road
Parkton, MD 21120
Registry dates
- Enumerated
- 2005-09-01
- Last updated
- 2010-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.