Shane Thomas Ridge, D.O.
NPI #1780884569 in Westbrook, Connecticut
Provider Information
- NPI Number
- 1780884569
- Entity Type
- Individual
- Name
- Shane Thomas Ridge, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Jul 20, 2007
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 250 FLAT ROCK PL
- Address 2
- 2ND FL
- City
- Westbrook
- State
- Connecticut
- ZIP Code
- 06498-1565
- Phone
- (860) 358-3640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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