MEDICARE: RICHARD SOUCIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	033435	CT
2	207RC0000X	Cardiovascular Disease Physician	033435	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255334207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD SOUCIER MD

Provider Business Mailing Address
First Line	:	1000 ASYLUM AVE
Second Line	:	STE 4309
City	:	HARTFORD
State	:	CT
Zip	:	06105-1770
Country	:	US
Telephone Number	:	860-714-6581
Fax Number	:	860-714-8311

Provider Business Practice Location Address
First Line	:	114 WOODLAND ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105-1208
Country	:	US
Telephone Number	:	860-714-4820
Fax Number	:	860-714-8001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/11/2021

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Directions to “ RICHARD SOUCIER MD” Practice Location

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