Edwards, Richard

Edwards, Richard is an individual health care provider with primary practice located at 94 Woodland St , Hartford CT 06105-1217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Edwards, Richard can be contacted via phone (860) 714-4680.

Contact Information

Primary practice address
94 Woodland St Hartford CT 06105-1217
Phone: (860) 714-4680
Fax: (860) 714-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 020052 Connecticut

Profile Details

NPI number 1134122104
LBN Legal business name Edwards, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 14th, 2010 - about 15 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 1134122104 NPPES
Connecticut MEDICAID 001200526

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