person
Dr. Richard Wilbrod Durocher, DPM
Durable Medical Equipment & Medical Supplies in North Haven, Connecticut
NPI 1306820956

Richard Wilbrod Durocher is a Durable Medical Equipment & Medical Supplies based in North Haven, CT. Richard Wilbrod Durocher practices in North Haven, CT and has the professional credentials of DPM. The NPI Number for Richard Wilbrod Durocher is 1306820956 and holds a License No. 000709 (Connecticut).

The current practice location address for Richard Wilbrod Durocher is 20 Washington Ave, North Haven, CT and can be reached out via phone at 203-239-1119 and via fax at 203-234-1832.

Location: 20 Washington Ave, North Haven, CT, 06473-2343
person
Provider Profile Details
NPI Number
1306820956
Provider Name
Richard Wilbrod Durocher
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20 Washington Ave, North Haven, CT, 06473-2343
Phone Number
203-239-1119
Fax Number
203-234-1832
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11066538 01 CT MULTIPLAN
80050 01 CT WELLCARE
CPD# 1392050 01 CT AETNA - COVENTRY-FIRST HEALTH
P1271789 01 OXFORD
0V3855 01 CT HEALTHNET
007090 01 CT CONNECTICARE
2704187 01 UNITED HEALTHCARE
008003227 01 CT MEDICAID GROUP AVRS
030000709CT01 01 CT BC BS
103244500 01 DEPT OF LABOR
C01740 01 CT MEDICARE GROUP PTAN
2110284 01 AETNA
60353065001 01 CIGNA
004191277 05 CT
institution
Provider Business Practice Location Address Details
Address
20 Washington Ave
City
State
Zip
06473-2343
Phone Number
203-239-1119
Fax Number
203-234-1832
person
Provider Business Mailing Address Details
Address
20 Washington Ave
City
State
Zip
06473-2343
Phone Number
203-239-1119
Fax Number
203-234-1832
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
2097 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
000709 (Connecticut)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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