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Shane Thomas Ridge, DO
Family Medicine Physician in Westbrook, Connecticut
NPI 1780884569

Shane Thomas Ridge is a Family Medicine Physician based in Middletown, CT. Shane Thomas Ridge practices in Westbrook, CT and has the professional credentials of DO. The NPI Number for Shane Thomas Ridge is 1780884569 and holds a License No. 045427 (Connecticut).

The current practice location address for Shane Thomas Ridge is 250 Flat Rock Pl, Westbrook, CT and can be reached out via phone at 860-358-3640 and via fax at 860-358-8656.

Location: 250 Flat Rock Pl, Westbrook, CT, 06457-3654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780884569
Provider Name
Shane Thomas Ridge
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
250 Flat Rock Pl, Westbrook, CT, 06457-3654
Phone Number
860-358-3640
Fax Number
860-358-8656
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008024237 05 CT
institution
Provider Business Practice Location Address Details
Address
250 Flat Rock Pl
City
Westbrook
State
Connecticut
Zip
06498-1565
Phone Number
860-358-3640
Fax Number
860-358-8656
person
Provider Business Mailing Address Details
Address
250 Flat Rock Pl
City
Westbrook
State
Connecticut
Zip
06498-1565
Phone Number
860-358-3640
Fax Number
860-358-8656
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
045427 (Connecticut)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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