SHANE RIDGE, D.O.

Family Medicine

Active Individual
NPI: 1780884569

Practice Address

250 FLAT ROCK PL
2ND FL
Westbrook, CT 06498

Phone: (860) 358-3640

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 045427 (CT)

Frequently Asked Questions

NPI 1780884569 is the National Provider Identifier for SHANE RIDGE, D.O., a Family Medicine provider located in Westbrook, CT. This NPI was enumerated on July 20, 2007.
SHANE RIDGE, D.O. practices at 250 FLAT ROCK PL, 2ND FL, Westbrook, CT 06498.

Quick Facts

NPI
1780884569
Type
Individual
Enumerated
Jul 20, 2007
Last Updated
Apr 11, 2017

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