Richard James Whitehead JR., PAC
NPI #1487630919 in Middletown, Connecticut
Provider Information
- NPI Number
- 1487630919
- Entity Type
- Individual
- Name
- Richard James Whitehead JR., PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Mar 25, 2015
Practice Location
- Address
- 410 SAYBROOK RD
- Address 2
- SUITE 201
- City
- Middletown
- State
- Connecticut
- ZIP Code
- 06457-4777
- Phone
- (860) 347-4620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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