Ridgedale Family Medical Llc | |
383 Ridgedale Ave East Hanover NJ 07936-1445 | |
(973) 887-0200 | |
(973) 887-4965 |
Full Name | Ridgedale Family Medical Llc |
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Speciality | Internal Medicine |
Location | 383 Ridgedale Ave, East Hanover, New Jersey |
Authorized Official Name and Position | Giuseppe Marzella (PRESIDENT) |
Authorized Official Contact | 9738870200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ridgedale Family Medical Llc 383 Ridgedale Ave East Hanover NJ 07936-1445 Ph: (973) 887-0200 | Ridgedale Family Medical Llc 383 Ridgedale Ave East Hanover NJ 07936-1445 Ph: (973) 887-0200 |
NPI Number | 1518132471 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518132471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA 05978 (New Jersey) | Primary |
208000000X | Pediatrics | MA 05978 (New Jersey) | Secondary |
Med-care Of East Hanover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Route 10, East Hanover, NJ 07936 Phone: 973-386-1133 Fax: 973-386-5522 | |
Ridgedale Family Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 383 Ridgedale Ave, East Hanover, NJ 07936 Phone: 973-887-0200 Fax: 973-887-4965 | |
Fuse Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 State Route 10, East Hanover, NJ 07936 Phone: 973-920-3090 Fax: 973-920-3091 |