Individual
DR. CARA D. RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
676 HEBRON AVE, GLASTONBURY, CT 06033-2410
(860) 696-2250
(860) 696-2260
Mailing address
676 HEBRON AVE, HARTFORD MEDICAL GROUP, GLASTONBURY, CT 06033-3309
(860) 696-2250
(860) 696-2260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045302
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194924373
NPI
—
05
—
1194924373
—
CT
Enumeration date
07/17/2007
Last updated
10/11/2011
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