Provider Demographics
NPI:1093808727
Name:RICHARDSON, ELBERT GREER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ELBERT
Middle Name:GREER
Last Name:RICHARDSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:341 BOSTON POST RD STE 1
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-1551
Mailing Address - Country:US
Mailing Address - Phone:203-215-7472
Mailing Address - Fax:203-826-2323
Practice Address - Street 1:234 CHURCH ST STE 301
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-1807
Practice Address - Country:US
Practice Address - Phone:203-215-7472
Practice Address - Fax:203-215-7472
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2021-11-02
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Provider Licenses
StateLicense IDTaxonomies
CT0378892084A0401X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine