Individual
WILLIAM J RAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 TEMPLE ST STE 1A, NEW HAVEN, CT 06510-2715
(203) 785-4138
(203) 737-1345
Mailing address
40 TEMPLE ST STE 1A, NEW HAVEN, CT 06510-2715
(203) 785-4138
(203) 737-1345
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
56910
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317921400
—
MD
Enumeration date
06/12/2006
Last updated
01/08/2018
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