Healthcare Provider Details

I. General information

NPI: 1942495775
Provider Name (Legal Business Name): RICHARD C HSU MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HOSPITAL PLZ STE 604
STAMFORD CT
06902-3602
US

IV. Provider business mailing address

29 HOSPITAL PLZ STE 604
STAMFORD CT
06902-3602
US

V. Phone/Fax

Practice location:
  • Phone: 203-276-8582
  • Fax:
Mailing address:
  • Phone: 203-276-8582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA88743
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number048540
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: