Individual
DR. RYAN T O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5718
(475) 210-5263
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039650
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396507
—
CT
01
—
010039650CT01
ANTHEM BCBS
—
01
—
039650
CONNECTICARE
—
01
—
0Q3462
HEALTHNET
—
01
—
110248572
RAILROAD MEDICARE
—
01
—
3254639
AETNA
—
01
—
P2834865
OXFORD
—
Enumeration date
04/17/2006
Last updated
02/10/2023
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