Individual
DR. MAYSOUN RICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
385 MAIN ST S, SOUTHBURY, CT 06488-4240
(203) 262-4600
Mailing address
385 MAIN ST S, SOUTHBURY, CT 06488-4240
(203) 262-4600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
046124
CT
207R00000X
Internal Medicine Physician
Primary
46124
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004181
—
CT
01
—
02014229
COVENTRY
CT
01
—
46124
CONNECTICARE
CT
01
—
627769/528689
WELLCARE
CT
01
—
9204302
AETBA
CT
Enumeration date
01/30/2009
Last updated
04/06/2018
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