Organization
MATTHEW RAIDER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J RAIDER M.D. (SOLE PROPRIETOR)
(860) 767-4024
Entity
Organization
Contact information
Practice address
645 SAYBROOK RD, MIDDLETOWN, CT 06457-4746
(860) 767-4024
Mailing address
645 SAYBROOK RD, MIDDLETOWN, CT 06457-4746
(860) 767-4024
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22948
CT
Other
Enumeration date
01/11/2009
Last updated
02/19/2009
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