Individual
ELIZABETH C. RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 LEWIS AVE, SUITE 208, MERIDEN, CT 06451-2121
(203) 238-2691
(203) 235-3128
Mailing address
PO BOX 1065, WILBRAHAM, MA 01095-7065
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045438
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010045438CT02
ANTHEM BCBS
CT
05
—
01837214
—
NY
Enumeration date
08/09/2006
Last updated
05/28/2008
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