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Individual

DR. RICHARD A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
455 LEWIS AVE, STE 205, MERIDEN, CT 06451
(203) 639-7272
(203) 639-7224
Mailing address
455 LEWIS AVE, STE 205, MERIDEN, CT 06451
(203) 639-7272
(203) 639-7224

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18618
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0R1876
HEALTHNET
CT
01
732550
CONNECTICARE
CT
Enumeration date
09/15/2006
Last updated
07/08/2007
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