Richard Siahaan M.D.

NPI 1013133628 - Internal Medicine - 207R00000X

NPI Details
NPI 1013133628
Gender Male
Enumeration Date 04/18/2007
Last Updated 06/23/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
SOUTH WINDSOR CT, 06074-5539, US
Phone (860) 644-3491
Fax (860) 644-5744
Business Location
PO BOX 510
SOUTH WINDSOR CT, 06074-0510, US
Phone (860) 644-3491
Fax (860) 644-5744
Taxonomy Code 207R00000X
License State Connecticut
License Number 024303
Remove 1013133628 NPI Number

According to our database, Dr. Richard Siahaan M.D. NPI is 1013133628, taxonomy code is 207R00000X and license number is 024303, license state is located at Connecticut. Richard Siahaan M.D. physically located at 2800 Tamarack Avenue, South Windsor CT, 06074-5539. NPI Number Richard Siahaan M.D. has the Individual type.

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1013133628 NPI number is provided on an as is basis without warranty of any kind. 1013133628 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Siahaan M.D. are for informational purposes only.