DR. JACK RICHARD MILLARD MD NPI 1306822259

NPI Information

NPI: 1306822259
Provider Name: DR. JACK RICHARD MILLARD, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
320 POMFRET ST
DEPARTMENT OF RADIOLOGY
PUTNAM, CT
ZIP 06260
Phone: (860) 963-6356
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DR. Jack Richard Millard, MD is a diagnostic radiology radiology in Putnam, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack Richard Millard, MD NPI is 1306822259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 POMFRET ST
DEPARTMENT OF RADIOLOGY
PUTNAM, CT
ZIP 06260-836
Phone: (860) 963-6356
Fax: (860) 963-6335

The enumeration date for this NPI number is 12/21/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	15156	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B97184	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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