Individual
DR. RICHARD BARRY WEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 FAIR STREET, WALLINGFORD, CT 06442
(203) 269-5454
(203) 269-4877
Mailing address
25 FAIR STREET, WALLINGFORD, CT 06492
(203) 269-5454
(203) 269-4877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022211
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022211CT01
ANTHEM
—
01
—
01022211
CIGNA
—
05
—
1222116
—
CT
Enumeration date
08/09/2006
Last updated
12/09/2009
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