Individual
DR. MATTHEW J. RAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 SAYBROOK RD, MIDDLETOWN, CT 06457-4746
(860) 767-4024
(860) 344-9906
Mailing address
645 SAYBROOK RD, MIDDLETOWN, CT 06457-4746
(860) 767-4024
(860) 344-9906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22948
CT
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22948
CT
Other
Enumeration date
05/09/2006
Last updated
01/06/2017
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