Individual
MARY GINA RATCHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1166 FARMINGTON AVE., BERLIN, CT 06037-2302
(860) 829-8939
(860) 829-8938
Mailing address
1166 FARMINGTON AVE., BERLIN, CT 06037-2302
(860) 829-8939
(860) 829-8938
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
037297
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001372979
—
CT
Enumeration date
03/21/2007
Last updated
06/29/2020
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