Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 047497 | CT |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 047497 | CT |
NPI | 1295919744 |
---|---|
Provider Name | Dr. Ross Jason Richer |
First Address | Fairfield, CT 06825-5508 |
Second Address | Fairfield, CT 06825-5508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 29/03/2017 |