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Contact Information

GREGORY M RICKETTS
1625 STRAITS TPKE STE 200
MIDDLEBURY, CT06762-1836
 Phone: 203-568-2929
 Fax: 203-575-5121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GREGORY M RICKETTS · (Male)

NPI # 1326459454
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2014
Last updated 08/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 67612
Hospital affiliation(s)
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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