Individual
HANNAH RADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 358-6486
Mailing address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 358-6486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68021
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
09/24/2021
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