Raymond, Ronald John

Raymond, Ronald John is an individual health care provider with primary practice located at 30 Prospect St Suite 200, Ridgefield CT 06877-4514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Raymond, Ronald John can be contacted via phone (203) 438-9621.

Contact Information

Primary practice address
30 Prospect St Suite 200 Ridgefield CT 06877-4514
Fax: (203) 438-4596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 033969 Connecticut

Profile Details

NPI number 1720013949
LBN Legal business name Raymond, Ronald John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 8th, 2007 - about 19 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 1720013949 NPPES
Connecticut MEDICAID 001339698

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