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Individual

EDWIN F RICHTER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29 HOSPITAL PLAZA, STE 495, STAMFORD, CT 06902-3602
(203) 316-0610
(203) 969-7418
Mailing address
29 HOSPITAL PLAZA, STE 495, STAMFORD, CT 06902-3602
(203) 316-0610
(203) 969-7418

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043144
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001431444
CT
01
010043144CT01
ANTHEM BC/BS
CT
01
043144
CONNECTICARE
CT
01
1371J
EMPIRE BC/BS
CT
01
2V6536
HEALTH NET
CT
01
3880662
AETNA
CT
01
4522972007
CIGNA
CT
01
P3600729
OXFORD HEALTH PLANS
CT
01
TIN
POMCO
Enumeration date
08/11/2006
Last updated
07/24/2020
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