Provider Demographics
NPI:1528166824
Name:WESTFAL, RICHARD E (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:WESTFAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5614
Mailing Address - Country:US
Mailing Address - Phone:203-972-4255
Mailing Address - Fax:203-801-2126
Practice Address - Street 1:173 EAST AVE
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5614
Practice Address - Country:US
Practice Address - Phone:203-972-4255
Practice Address - Fax:203-801-2126
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTNP503OtherOXFORD INSURANCE
CT4274385OtherAETNA INSURANCE
CT010042155CT01OtherANTHEM INSURANCE
CT735568OtherUNITED HEALTH CARE INS.
CT6790294OtherCIGNA INSURANCE
CT6790294OtherCIGNA INSURANCE