Individual
MATTHEW PATRICK RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
340 N MAIN ST, SOUTHINGTON, CT 06489-2529
(860) 628-3111
(860) 628-3119
Mailing address
340 NORTH MAIN ST., SOUTHINGTON, CT 06489
(860) 628-3111
(860) 628-3119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
000534
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5005343
—
CT
Enumeration date
11/09/2005
Last updated
06/30/2021
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