Ridyard, Douglas Graham

Ridyard, Douglas Graham is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8073. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ridyard, Douglas Graham can be contacted via phone (860) 679-3438.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-8073
Phone: (860) 679-3438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 21352 New Hampshire

Profile Details

NPI number 1639532872
LBN Legal business name Ridyard, Douglas Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Nov 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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