Provider Demographics
NPI:1780790584
Name:SEKERAK, RICHARD JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOHN
Last Name:SEKERAK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1290 SILAS DEANE HWY FL 1
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:860-972-6970
Mailing Address - Fax:860-972-7040
Practice Address - Street 1:199 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3501
Practice Address - Country:US
Practice Address - Phone:203-874-2543
Practice Address - Fax:203-874-2544
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2020-02-20
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Provider Licenses
StateLicense IDTaxonomies
CT030394207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110009710Medicare PIN
CT110009710Medicare PIN
CTB83474Medicare UPIN