Organization · Type 2 NPI

Ridgewood Ent & Dermatology

Otolaryngology/Facial Plastic Surgery Physician · Ridgewood, NJ

NPI number 1225356512 Active

Practice location

81 N Maple Ave
Ridgewood, NJ 07450-3234

Fax (201) 857-2371

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XNone listed
General Practice Physician 208D00000XNone listed

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1225356512

Ridgewood Ent & Dermatology's National Provider Identifier is 1225356512, issued on May 11, 2010. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Ridgewood, NJ. The record was last updated on May 11, 2010.