Provider Demographics
NPI:1245348507
Name:FISCHER, RICHARD DENNIS (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:DENNIS
Last Name:FISCHER
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:PO BOX 415933
Mailing Address - Street 2:HARTFORD HOSPITAL PROFESSIONAL SERVICES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5933
Mailing Address - Country:US
Mailing Address - Phone:860-545-7602
Mailing Address - Fax:
Practice Address - Street 1:80 SEYMOUR STREET
Practice Address - Street 2:HARTFORD HOSPITAL ORTHOPEDICS SERVICE
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06102-5037
Practice Address - Country:US
Practice Address - Phone:860-545-2791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT029152207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010029152CT01OtherANTHEM BC/BS
CT029152OtherCONNECTICARE
CT0909769002OtherCIGNA HEALTHCARE
CT4232990OtherAETNA INSURANCE CO
CT566534OtherUNITED HEALTHCARE
CTTOS015OtherOXFORD INSURANCE
CT0V1198OtherPHS HEALTH NET
CT0V1198OtherPHS HEALTH NET
CT029152OtherCONNECTICARE