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Organization
IMAD M ARIDI MD PA
Active
Organization
IMAD M ARIDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD ARIDI M.D. (OWNER)
(609) 652-9111
Entity
Organization
Contact information
Practice address
76 W JIMMIE LEEDS RD, 76 WEST PARK CENTRE SUITE 301, GALLOWAY, NJ 08205-9411
(609) 652-9111
(609) 652-1283
Mailing address
76 W JIMMIE LEEDS RD, 76 WEST PARK CENTRE SUITE 301, GALLOWAY, NJ 08205-9411
(609) 652-9111
(609) 652-1283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA04727700
NJ
207R00000X
Internal Medicine Physician
Primary
25MA04727700
NJ
2085R0202X
Diagnostic Radiology Physician
25MA04727700
NJ
208600000X
Surgery Physician
25MA04727700
NJ
Other
Enumeration date
07/23/2006
Last updated
04/20/2008
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