Organization
RICHARD F COMSHAW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F COMSHAW II PHD APRN (OWNER)
(860) 736-4139
Entity
Organization
Contact information
Practice address
2275 SILAS DEANE HWY, ROCKY HILL, CT 06067-2329
(860) 736-4139
Mailing address
238 CONGDON ST E, MIDDLETOWN, CT 06457-2063
(860) 736-4139
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001702
CT
363LP2300X
Primary Care Nurse Practitioner
001702
CT
Other
Enumeration date
01/28/2013
Last updated
02/10/2023
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