Richard Siahaan in Bloomfield - Internal Medicine
Richard Siahaan - NPI 1013133628
Richard Siahaan is a Internal Medicine in Bloomfield, Connecticut. Richard Siahaan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Siahaan is 1013133628. The last update date is 2016-12-28.
Richard Siahaan's current location address is 421 Cottage Grove Rd, Bloomfield, Connecticut. You can contact this provider via phone number 8602420034 and fax number 8602423301. The mailing address for Richard Siahaan is 421 Cottage Grove Rd, Bloomfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Siahaan |
|---|---|
| Address | 421 Cottage Grove Rd, Bloomfield, Connecticut |
| Phone Number | 8602420034 |
| Fax Number | 8602423301 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013133628 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2016-12-28 |
Provider Mailing Address Detail
| Address | 421 Cottage Grove Rd |
|---|---|
| City | Bloomfield |
| State | Connecticut (CT) |
| Post Code | 60023170 |
| Phone Number | 8602420034 |
| Fax Number | 8602423301 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 24303 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4263612 | CT | CHN | |
| 0V0438 | CT | HEALTHNET | |
| 7294618 | PA | CIGNA | |
| 704554 | CT | CONNECTICARE | |
| 4263612 | CT | -- | |
| 369877 | CT | WELLCARE | |
| 427750 | MA | TUFTS | |
| 80705 | CT | GREATWEST | |
| 010024303CT01 | CT | BLUESHIELD | |
| 514837 | TX | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Siahaan by the Centers for Medicare & Medicaid Services?
The Richard Siahaan has been assigned the NPI (National Provider Identifier) 1013133628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Richard Siahaan is physically located?
The Richard Siahaan is situated at the following address: 421 Cottage Grove Rd, Bloomfield, CT 60023170.
What is the Richard Siahaan's specialty and taxonomy code?
The Richard Siahaan's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Richard Siahaan receive its 1013133628 assignment from the Centers for Medicare & Medicaid Services?
The Richard Siahaan was assigned its 1013133628 by the Centers for Medicare & Medicaid Services on 2007-04-18.
As of what date were the Richard Siahaan's details last updated?
The information pertaining to the Richard Siahaan, including its address, specialty, and other details, was most recently updated on 2016-12-28.