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Individual

SEAN RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 FOUNDERS PLZ STE 400, EAST HARTFORD, CT 06108-3240
(860) 289-3375
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
288710
NY
2085R0202X
Diagnostic Radiology Physician
Primary
54871
CT

Other

Enumeration date
05/25/2011
Last updated
10/09/2018
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