Provider Demographics
NPI:1023335064
Name:RICHARD C CONNORS MD PC
Entity type:Organization
Organization Name:RICHARD C CONNORS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:CONNORS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-622-0808
Mailing Address - Street 1:1 PERRYRIDGE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4648
Mailing Address - Country:US
Mailing Address - Phone:203-622-0808
Mailing Address - Fax:203-622-7038
Practice Address - Street 1:1 PERRYRIDGE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4648
Practice Address - Country:US
Practice Address - Phone:203-622-0808
Practice Address - Fax:203-622-7038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT016395207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty