Individual
DR. ALFRED K HICKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
512 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
Mailing address
512 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
02959
KY
207X00000X
Orthopaedic Surgery Physician
240996
NY
207X00000X
Orthopaedic Surgery Physician
54330
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
02959
KY
207XS0117X
Orthopaedic Surgery of the Spine Physician
16410
NH
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
54330
CT
Other
Enumeration date
05/29/2007
Last updated
07/01/2015
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