Individual
DR. RICHARD J DREISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6205
(860) 826-4957
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6205
(860) 826-4957
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
026770
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026770CT01
BCBS N BCFP PROV ID
CT
01
—
01026770
CIGNA PROV ID
CT
01
—
060086
HEALTH NET PROV ID
CT
01
—
1255448155
GHMC GROUP NPI
CT
01
—
3062401
CONNECTICARE ID
CT
01
—
367557
WELLCARE MEDICARE ONLY
CT
01
—
487984
AETNA REF ID
CT
01
—
P369885
OXFORD PROV ID
CT
Enumeration date
06/01/2005
Last updated
07/09/2007
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