Dr. Matthew J. Raider
Family Doctor Family Doctor - Geriatric Medicine
645 Saybrook Rd
Middletown
, Connecticut 06457-4746
Dr. Matthew J. Raider
Family Doctor Family Doctor - Geriatric Medicine
645 Saybrook Rd
Middletown
, Connecticut 06457-4746
(860) 344-9906
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Matthew J. Raider
- 645 Saybrook Rd
- Middletown, CT
- Zip : 06457-4746
- Fax : (860) 344-9906
- Phone : (860) 767-4024
Second Address
- Dr. Matthew J. Raider
- 645 Saybrook Rd
- Middletown, CT
- Zip : 06457-4746
- Fax : (860) 344-9906
- Phone : (860) 767-4024
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FAQs
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Is Dr. Matthew J. Raider a sole practitioner?
Is Dr. Matthew J. Raider accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 22948 | CT |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 22948 | CT |
National Provider Identifier
| NPI | 1073562674 |
|---|---|
| Provider Name | Dr. Matthew J. Raider |
| First Address | Middletown, CT 06457-4746 |
| Second Address | Middletown, CT 06457-4746 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2006 |
| Last Update Date | 06/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B38569 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.