Male or Other

Dr. Brian Raitzin MD

Family Medicine Physician in Hartford, CT(View on Map)

Full Name

Dr. Brian Raitzin MD

NPI Number

1568968360

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/02/2018

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Connecticut
Connecticut

License Number

68624
061526

Contact
Information

Purpose

Mailing
Location

Address

99 WOODLAND ST
99 WOODLAND ST

City

Hartford
Hartford

State

CT
CT

Postal Code

06105-1207
06105-1207

Country

US
US

Telephone Number

(860) 714-4212
(860) 714-4212

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/05/2021

Provider Address

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