Provider Demographics
NPI:1821097601
Name:HELLMAN, RICHARD MILLER (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MILLER
Last Name:HELLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SHAWS CV
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4952
Mailing Address - Country:US
Mailing Address - Phone:860-439-1770
Mailing Address - Fax:860-447-2854
Practice Address - Street 1:3 SHAWS CV
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4952
Practice Address - Country:US
Practice Address - Phone:860-439-1770
Practice Address - Fax:860-447-2854
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT025647207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001256470Medicaid
CT001256470Medicaid
C64937Medicare UPIN