Individual
DR. RICHARD ALAN SEGOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 ELM ST, ENFIELD, CT 06082-3712
(860) 745-3336
(860) 741-2654
Mailing address
249 FAIR HILL LN, SUFFIELD, CT 06078-1228
(860) 668-6595
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
017320
CT
208000000X
Pediatrics Physician
38299
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067919
—
MA
Enumeration date
06/01/2005
Last updated
07/08/2007
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