Individual provider · Type 1 NPI

Kristin Riddle, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1154067627 Active

Practice location

150 Bergen St Ste I-248
Newark, NJ 07103-2496

Call (973) 972-6056 Map

Fax (973) 972-3129

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Newark

See all in Newark →

About NPI 1154067627

Kristin Riddle, MD's National Provider Identifier is 1154067627, issued on May 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on May 9, 2022.