Individual
DANIEL RICAURTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 ROBBINS ST, WATERBURY, CT 06708-2652
(203) 573-7284
(203) 573-7031
Mailing address
85 SEYMOUR ST, STE 415, HARTFORD, CT 06106-5523
(203) 573-6162
(203) 573-6707
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
064519
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2014
Last updated
06/26/2020
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