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Contact Information

MATTHEW RAIDER MD LLC
645 SAYBROOK RD
MIDDLETOWN, CT06457-4746
 Phone: 860-767-4024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MATTHEW RAIDER MD LLC · (Female)

NPI # 1093952194
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2009
Last updated 02/19/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 22948
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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