Individual provider · Type 1 NPI
Gregory Michael Ricketts
Surgery Physician · Middlebury, CT
Practice location
1625 Straits Tpke Ste 200
Middlebury, CT 06762-1836
Fax (203) 575-5121
Mailing address
64 Robbins St
Waterbury, CT 06708-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgery Physician Primary | 208600000X | 67612 (CT) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1326459454
Gregory Michael Ricketts's National Provider Identifier is 1326459454, issued on May 12, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Middlebury, CT. The record was last updated on Aug 9, 2021.