Provider Demographics
NPI:1851334031
Name:AUERBACH, RICHARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:AUERBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32 CHURCH HILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1648
Mailing Address - Country:US
Mailing Address - Phone:203-426-5437
Mailing Address - Fax:203-426-2100
Practice Address - Street 1:32 CHURCH HILL RD STE 200
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1648
Practice Address - Country:US
Practice Address - Phone:203-426-5437
Practice Address - Fax:203-426-2100
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037535208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics