Hannah Radecki, MD
Family Medicine in Middletown, CT. Individual provider (NPI-1).
NPI number1154819829
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1154819829
- Entity type
- Individual (NPI-1)
- Name
- Hannah Radecki
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2018
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 68021 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
90 S Main StMiddletown, CT 06457-3649
Phone 860-358-6486
Mailing address
90 S Main StMiddletown, CT 06457-3649
Phone 860-358-6486
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