Individual
DR. RICHARD L IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
(860) 928-2239
Mailing address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
(860) 928-2239
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
051403
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9708057
—
MA
Enumeration date
09/19/2005
Last updated
11/14/2012
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