Provider Demographics
NPI:1043219058
Name:RIGGS, VIRGINIA P (MD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:P
Last Name:RIGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PALOMBA DR
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3853
Mailing Address - Country:US
Mailing Address - Phone:860-741-0764
Mailing Address - Fax:860-741-2263
Practice Address - Street 1:15 PALOMBA DR
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3888
Practice Address - Country:US
Practice Address - Phone:860-741-0764
Practice Address - Fax:860-741-2263
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT018538173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050565OtherCONNECTICARE
CT61373363OtherUNITED HEALTHCARE
CTOR3740OtherHEALTH NET PHS
CT1185388Medicaid
CT2183480OtherUS HEALTHCARE
CTP654145OtherOXFORD HEALTH PLAN
CT01018538OtherCIGNA
CT010018538-CT01OtherBCBS
CT01018538OtherCIGNA