Individual
DR. RICHARD WILBROD DUROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20 WASHINGTON AVE, STE 212, NORTH HAVEN, CT 06473-2343
(203) 239-1119
(203) 234-1832
Mailing address
20 WASHINGTON AVE, STE 212, NORTH HAVEN, CT 06473-2343
(203) 239-1119
(203) 234-1832
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000709
CT
213ES0131X
Foot Surgery Podiatrist
2097
MA
332B00000X
Durable Medical Equipment & Medical Supplies
00709
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004191277
—
CT
01
—
007090
CONNECTICARE
CT
01
—
008003227
MEDICAID GROUP AVRS
CT
01
—
030000709CT01
BC BS
CT
01
—
0V3855
HEALTHNET
CT
01
—
103244500
DEPT OF LABOR
—
01
—
11066538
MULTIPLAN
CT
01
—
2110284
AETNA
—
01
—
2704187
UNITED HEALTHCARE
—
01
—
60353065001
CIGNA
—
01
—
80050
WELLCARE
CT
01
—
C01740
MEDICARE GROUP PTAN
CT
01
—
CPD# 1392050
AETNA - COVENTRY-FIRST HEALTH
CT
01
—
P1271789
OXFORD
—
Enumeration date
12/06/2005
Last updated
02/20/2015
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