Dr. Richard Wilbrod Durocher
Foot Surgery
20 Washington Ave Ste 212
North Haven
, Connecticut 06473-2343
Dr. Richard Wilbrod Durocher
Foot Surgery
20 Washington Ave Ste 212
North Haven
, Connecticut 06473-2343
(203) 234-1832
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Richard Wilbrod Durocher
- 20 Washington Ave Ste 212
- North Haven, CT
- Zip : 06473-2343
- Fax : (203) 234-1832
- Phone : (203) 239-1119
Second Address
- Dr. Richard Wilbrod Durocher
- 20 Washington Ave Ste 212
- North Haven, CT
- Zip : 06473-2343
- Fax : (203) 234-1832
- Phone : (203) 239-1119
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Is Dr. Richard Wilbrod Durocher a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 000709 | CT |
| N | 213ES0131X | Foot Surgery | 2097 | MA |
National Provider Identifier
| NPI | 1306820956 |
|---|---|
| Provider Name | Dr. Richard Wilbrod Durocher |
| First Address | North Haven, CT 06473-2343 |
| Second Address | North Haven, CT 06473-2343 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 20/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004191277 | (05) | CT |
| 007090 | CONNECTICARE (01) | CT |
| 008003227 | MEDICAID GROUP AVRS (01) | CT |
| 030000709CT01 | BC BS (01) | CT |
| 0V3855 | HEALTHNET (01) | CT |
| 103244500 | DEPT OF LABOR (01) | |
| 11066538 | MULTIPLAN (01) | CT |
| 2110284 | AETNA (01) | |
| 2704187 | UNITED HEALTHCARE (01) | |
| 60353065001 | CIGNA (01) | |
| 80050 | WELLCARE (01) | CT |
| C01740 | MEDICARE GROUP PTAN (01) | CT |
| CPD# 1392050 | AETNA - COVENTRY-FIRST HEALTH (01) | CT |
| P1271789 | OXFORD (01) | |
| U61221 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.