Individual
DR. A AZIZ RICHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1389 W MAIN ST, SUITE 322, WATERBURY, CT 06708-3104
(203) 753-0877
(203) 759-1537
Mailing address
1389 W MAIN ST, SUITE 322, WATERBURY, CT 06708-3104
(203) 753-0877
(203) 759-1537
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
020067
CT
208600000X
Surgery Physician
Primary
20067
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001200674
—
CT
01
—
00120067401
BC FAMILY
CT
01
—
010020067CT04
BC/BS
CT
01
—
020067
CONNECTICARE
CT
01
—
02043832
NY MEDICAID, NON-PAR
CT
01
—
204997
PREFERRED ONE NON-PAR
CT
01
—
2670447
AETNA
CT
01
—
2V0727
HEALTHNET
CT
01
—
608776300
FECA DOL WC
CT
01
—
CHN00724
CHN, NON-PAR
CT
01
—
P381298
OXFORD
CT
Enumeration date
09/06/2006
Last updated
05/09/2014
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