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Individual

DR. RICHARD TODD KERSHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 SEYMOUR STREET, SUITE 416, HHMG UROLOGY INSTITUTE, HARTFORD, CT 06106
(860) 947-8500
(860) 524-8643
Mailing address
85 SEYMOUR STREET, SUITE 416, HHMG UROLOGY INSTITUTE, HARTFORD, CT 06106
(860) 947-8500
(860) 524-8643

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
042-0010577
VT
208800000X
Urology Physician
050730
CT
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
050730
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02428595
NY
05
1009694
VT
Enumeration date
07/27/2006
Last updated
02/04/2015
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