Provider Demographics
NPI:1508157298
Name:RIOTTE, CLARE O'KEEFE (DO)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:O'KEEFE
Last Name:RIOTTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:
Other - Last Name:O'KEEFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:282 WASHINGTON STREET
Mailing Address - Street 2:MEDICAL EDUCATION, 4H
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-545-9973
Mailing Address - Fax:860-545-9973
Practice Address - Street 1:282 WASHINGTON STREET
Practice Address - Street 2:MEDICAL EDUCATION, 4H
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-545-9973
Practice Address - Fax:860-545-9973
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT053017208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics