Individual
RICHARD M. KETAI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 S MAIN ST, MIDDLETOWN, CT 06457-3651
(860) 358-8760
(860) 358-8754
Mailing address
103 S MAIN ST, MIDDLETOWN, CT 06457-3651
(860) 358-8760
(860) 358-8754
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029296
CT
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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