Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD NICHOLAS FORMICA, MD
ActiveNephrology · NEW HAVEN, CT
Registration Details
- NPI Number
- 1730163502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2005 (20.44326318896 yrs)
- Last Updated
- Mar 22, 2012
- Licenses
-
036848 (CT)036848 (CT)
Practice Information
- Address
-
800 HOWARD AVEYALE PHYSICIANS BUILDINGNEW HAVEN, CT, 06519Browse CT providers · Browse ZIP 06519
- Phone
- 2037852140
- Fax
- 2037856414
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Hospitalist
Other Nephrology Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| JONI H HANSSON | MD | 1760478077 |
| ALAN S KLIGER | MD | 1619963923 |
| SUE CHANG | MD | 1528054848 |
| FREDRIC O FINKELSTEIN | MD | 1851387088 |
| SHIRIN SHIRANI | MD | 1891781191 |
| THOMAS D EISEN | MD | 1427044684 |
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.