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Individual

DR. DANIEL H RIDDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 COLCHESTER AVE, FAHC, MP4, BURLINGTON, VT 05401-1473
(802) 847-1400
Mailing address
680 MAYO RD, HUNTINGTON, VT 05462-9410
(802) 434-2745

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
042-0007329
VT
207VE0102X
Reproductive Endocrinology Physician
Primary
042-0007329
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0002553
VT
01
00916183
NEW YORK MEDICAID
NY
Enumeration date
07/20/2006
Last updated
09/11/2025
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