Provider Demographics
NPI:1326211244
Name:RAYMOND SEKIGUCHI M.D., P.C.
Entity Type:Organization
Organization Name:RAYMOND SEKIGUCHI M.D., P.C.
Other - Org Name:D/B/A GREENWICH FAMILY PRACTICE & PAIN MANAGEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKIGUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-552-9037
Mailing Address - Street 1:49 LAKE AVENUE
Mailing Address - Street 2:SUITE LL4
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830
Mailing Address - Country:US
Mailing Address - Phone:203-552-9037
Mailing Address - Fax:203-552-9048
Practice Address - Street 1:49 LAKE AVENUE
Practice Address - Street 2:SUITE LL4
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830
Practice Address - Country:US
Practice Address - Phone:203-552-9037
Practice Address - Fax:203-552-9048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP512831OtherOXFORD
CT086934OtherAETNA
CT010035655CT01OtherANTHEM
CT220195293OtherGUARDIAN
OH22019529300OtherOHIO BWC
CT584648OtherAETNA
CT021058OtherHEALTHNET
CT035665OtherCONNECTICARE
OH22019529300OtherOHIO BWC