DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD JAMES WHITEHEAD JR., PAC

Active

RICHARD JAMES WHITEHEAD JR., PAC is a Physician Assistant healthcare provider located in MIDDLETOWN, Connecticut. NPI 1487630919 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MIDDLETOWN, CT

Registration Details

NPI Number
1487630919
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2005 (20.480206426415 yrs)
Last Updated
Mar 25, 2015
Licenses
000881 (CT)
0000881 (CT)

Practice Information

Address
410 SAYBROOK RD
SUITE 201
MIDDLETOWN, CT, 064574777
Browse CT providers · Browse ZIP 06457
Phone
8603474620
Fax
8603445995
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MIDDLETOWN, CT

Name Credential NPI
MARTHA L MCCRANN PA 1720069560
MICHAEL MCDONALD PA 1265413793
ERIKA LEIGH SKINNON PA 1578546925
CHERYL MCDONALD PA 1902816812
MR. THOMAS E GORSKY PA 1356438451
MS. SANDRA FRIMEL PAC 1346467602
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.