SHANE THOMAS RIDGE

WESTBROOK, CT
NPI1780884569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  045427)
Enumeration Date2007-07-20
Last Update Date2017-04-11
Business Address
-- SHANE THOMAS RIDGE D.O.
250 FLAT ROCK PL 2ND FL
WESTBROOK, CT 06498-1565
Phone number: 860-358-3640
Mailing Address
-- SHANE THOMAS RIDGE D.O.
28 CRESCENT ST
MIDDLETOWN, CT 06457-3654
Phone number: 860-358-4820