# IMAD M ARIDI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053332965
- **Authorized official:** IMAD ARIDI M.D. (OWNER)
- **Authorized official phone:** (609) 652-9111

## Contact information

- **Practice address:** 76 W JIMMIE LEEDS RD, 76 WEST PARK CENTRE SUITE 301, GALLOWAY, NJ 08205-9411
- **Practice address phone:** (609) 652-9111
- **Practice address fax:** (609) 652-1283
- **Mailing address:** 76 W JIMMIE LEEDS RD, 76 WEST PARK CENTRE SUITE 301, GALLOWAY, NJ 08205-9411
- **Mailing address phone:** (609) 652-9111
- **Mailing address fax:** (609) 652-1283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MA04727700 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA04727700 | NJ | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 25MA04727700 | NJ | — |
| 208600000X | Surgery Physician | 25MA04727700 | NJ | — |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 04/20/2008