Individual
RICHARD STEVEN BERCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING- 3RD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-4176
(203) 785-5886
Mailing address
300 GEORGE ST, 6TH FLOOR, PO BOX 9805, NEW HAVEN, CT 06511-6624
(203) 785-7998
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
040946
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001409467
—
CT
Enumeration date
10/12/2005
Last updated
05/22/2008
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