Bercik, Richard Steven

Bercik, Richard Steven is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building- 3Rd Floor, New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bercik, Richard Steven can be contacted via phone (203) 785-4176.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians Building- 3Rd Floor New Haven CT 06519-1369
Fax: (203) 785-5886
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 040946 Connecticut

Profile Details

NPI number 1942298013
LBN Legal business name Bercik, Richard Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated May 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942298013 NPPES
Connecticut MEDICAID 001409467

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