Individual
RICHARD K SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 VILLA ROSA TER, MILFORD, CT 06460-7915
(203) 882-8380
(203) 882-8384
Mailing address
12 VILLA ROSA TER, MILFORD, CT 06460-7915
(203) 882-8380
(203) 882-8384
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
018088
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001180884
—
CT
Enumeration date
08/03/2006
Last updated
03/30/2011
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