Healthcare Provider Details

I. General information

NPI: 1639120504
Provider Name (Legal Business Name): WILLIAM G RICHEIMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US

IV. Provider business mailing address

82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-7345
  • Fax: 860-885-7228
Mailing address:
  • Phone: 860-889-7345
  • Fax: 860-885-7228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number014608
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number014608
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: