Search › Connecticut › 1710I1002X

Russell Rider, IDC

NPI 1609416189 · on the registry since 2020 · sole proprietor

Practice

Address
159 Trout Ave
Groton, CT 06340
Phone
(860) 694-6464
Clinicians at this address
23

Registry record

Primary taxonomy
1710I1002X
1710I1002X
Sex
Male
Record last updated
2020-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut