Provider Demographics
NPI:1295919744
Name:RICHER, ROSS JASON (MD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:JASON
Last Name:RICHER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:305 BLACK ROCK TPKE
Mailing Address - Street 2:ORTHPAEDIC SPECIALTY GROUP, PC
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5508
Mailing Address - Country:US
Mailing Address - Phone:203-337-2600
Mailing Address - Fax:203-337-2666
Practice Address - Street 1:305 BLACK ROCK TPKE
Practice Address - Street 2:ORTHPAEDIC SPECIALTY GROUP, PC
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5508
Practice Address - Country:US
Practice Address - Phone:203-337-2600
Practice Address - Fax:203-337-2666
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2017-03-29
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Provider Licenses
StateLicense IDTaxonomies
CT047497207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery