SearchConnecticut207Q00000X

Shane Ridge, D.O

NPI 1780884569 · on the registry since 2007

Practice

Address
250 Flat Rock Pl
2nd Fl
Westbrook, CT 06498
Phone
(860) 358-3640
Fax
(860) 358-8656
Clinicians at this address
16

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut