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Contact Information

RICHARD D GLISSON, DO
124 HEBRON AVE STE 1B
GLASTONBURY, CT06033
 Phone: 860-633-8806
 Fax: 860-657-3788
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RICHARD D GLISSON · (Male)

NPI # 1376503003
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/25/2006
Last updated 03/04/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 038819
  • FL License # OS21704
  • CT Medicaid 001388190
  • CT Other 040038819CT02 ANTHEM BC/BS
  • CT Other 040038819CT03 ANTHEM BC/BS
  • CT Other 040038819CT05 ANTHEM BC/BS
  • CT Other 040038819CT08 ANTHEM BC/BS
  • CT Other 040038819CT09 ANTHEM BC/BS
  • CT Other 300117740 RAILROAD MEDICARE
  • CT Other 300117748 RAILROAD MEDICARE
  • CT Other 300117753 RAILROAD MEDICARE
  • CT Other 300117757 RAILROAD MEDICARE
  • CT Other 300117761 RAILROAD MEDICARE
  • CT Other 300117769 RAILROAD MEDICARE
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
  • WILLIAM W BACKUS HOSPITAL - (Acute Care)
    326 WASHINGTON ST
    NORWICH, CT 06360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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