Individual
DR. RANDOLPH RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2103 MAIN STREET, STRATFORD, CT 06115
(203) 377-3666
(203) 377-6500
Mailing address
68 WEPAWAUG RD, WOODBRIDGE, CT 06525-2423
(203) 298-9309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031878
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318783
—
CT
01
—
031878
STATE LICENSE
CT
Enumeration date
09/25/2006
Last updated
10/27/2010
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