Provider Demographics
NPI:1053684605
Name:NITAI RIEGLER, MD LLC
Entity Type:Organization
Organization Name:NITAI RIEGLER, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NITAI
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-876-6848
Mailing Address - Street 1:1 GOLDEN HILL ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4630
Mailing Address - Country:US
Mailing Address - Phone:203-876-6848
Mailing Address - Fax:203-876-6852
Practice Address - Street 1:1 GOLDEN HILL ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4630
Practice Address - Country:US
Practice Address - Phone:203-876-6848
Practice Address - Fax:203-876-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033289207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty