Individual
RICHARD ORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 HARTFORD TPKE, VERNON, CT 06066-4841
(860) 533-4611
(860) 533-4607
Mailing address
428 HARTFORD TPKE STE 210, VERNON, CT 06066-4841
(860) 533-4611
(860) 533-4607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000338
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110175732
MEDICARE RAIL ROAD
CT
Enumeration date
03/03/2006
Last updated
05/03/2012
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