| Family Medical Practice Ii | |
|
106 Prospect St Ridgewood NJ 07450 | |
| (201) 689-1933 | |
| (201) 689-1935 |
| Full Name | Family Medical Practice Ii |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Prospect St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Marjorie Marie Condon (PHYSICIAN) |
| Authorized Official Contact | 2016891933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Practice Ii 106 Prospect St Ridgewood NJ 07450 Ph: (201) 689-1933 | Family Medical Practice Ii 106 Prospect St Ridgewood NJ 07450 Ph: (201) 689-1933 |
| NPI Number | 1477571826 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477571826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB54119 (New Jersey) | Primary |
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