Individual
RICHARD WARREN GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 NEW LONDON TPKE, NORWICH, CT 06360
(860) 884-3835
(860) 823-1782
Mailing address
92 NEW LONDON TPKE, NORWICH, CT 06360
(860) 884-3835
(860) 823-1782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022855CT01
ANTHEM BLUE CROSS
—
01
—
030941
HEALTHNET
—
01
—
778589
CONNECTICARE
—
01
—
NLP010
OXFORD
—
Enumeration date
09/29/2006
Last updated
07/08/2007
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