Individual
NATHAN E. RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256554
MA
207RC0000X
Cardiovascular Disease Physician
Primary
273386
MA
Other
Enumeration date
06/26/2013
Last updated
12/08/2025
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