Organization
RICHARD A. FICHMAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A. FICHMAN M.D. (PRESIDENT)
(860) 649-9973
Entity
Organization
Contact information
Practice address
178 HARTFORD RD, MANCHESTER, CT 06040-5986
(860) 649-9973
Mailing address
178 HARTFORD RD, MANCHESTER, CT 06040-5986
(860) 649-9973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004202983
—
CT
05
—
004207339
—
CT
01
—
8031
CONNECTICARE
CT
01
—
8172495
AETNA INS.
CT
01
—
C15620
RAILROAD MEDICARE
CT
Enumeration date
08/19/2006
Last updated
07/07/2017
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