Individual
RICHARD D MOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
257 NEW LONDON TPKE, GLASTONBURY, CT 06033-2232
(860) 659-4091
(860) 659-5752
Mailing address
257 NEW LONDON TPKE, GLASTONBURY, CT 06033-2232
(860) 659-4091
(860) 659-5752
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25835
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258359
—
CT
Enumeration date
02/13/2006
Last updated
10/05/2007
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