Organization · Type 2 NPI
Park Ridge Geriatrics PC
Specialist · Park Ridge, NJ
NPI number
1386690782
Active
Practice location
235 Homestead Pl
Park Ridge, NJ 07656-2438
Mailing address
PO Box 557
Park Ridge, NJ 07656-0557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA69195 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1386690782
Park Ridge Geriatrics PC's National Provider Identifier is 1386690782, issued on May 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Park Ridge, NJ. The record was last updated on Jul 18, 2008.