Madison Richard, PA-C

NPI #1962211623 in Norwalk, Connecticut

Provider Information

NPI Number: 1962211623
Entity Type: Individual
Name: Madison Richard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

Practice Location

Address: 761 MAIN AVE BLDG A
City: Norwalk
State: Connecticut
ZIP Code: 06851-1080
Phone: (203) 810-4151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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