Richard Siahaan, M.D.

NPI #1013133628 in Bloomfield, Connecticut

Provider Information

NPI Number: 1013133628
Entity Type: Individual
Name: Richard Siahaan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 18, 2007
Last Updated: Dec 28, 2016

Practice Location

Address: 421 COTTAGE GROVE RD
City: Bloomfield
State: Connecticut
ZIP Code: 06002-3170
Phone: (860) 242-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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