Gervasi, Richard T.

Gervasi, Richard T. is an individual health care provider with primary practice located at 40 Cross St 4Th Fl, Norwalk CT 06851-4647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gervasi, Richard T. can be contacted via phone (203) 845-4800.

Contact Information

Primary practice address
40 Cross St 4Th Fl Norwalk CT 06851-4647
Phone: (203) 845-4800
Fax: (203) 845-4873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042201 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 042201 Connecticut

Profile Details

NPI number 1972597813
LBN Legal business name Gervasi, Richard T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972597813 NPPES
Connecticut MEDICAID 1972597813

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