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Individual

BRIAN RADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
986 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-1928
(860) 848-5700
Mailing address
986 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-1928
(860) 848-5700
(860) 848-5700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67812
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
221509800
MD
05
762671100
MD
Enumeration date
06/24/2006
Last updated
06/22/2021
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