# RIDGEWOOD ENT & DERMATOLOGY

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

## Provider details

- **NPI number:** 1225356512
- **Authorized official:** RAMTIN KASSIR M.D., F.A.C.S. (PHYSICIAN)
- **Authorized official phone:** (201) 857-2370

## Contact information

- **Practice address:** 81 N MAPLE AVE, RIDGEWOOD, NJ 07450-3234
- **Practice address phone:** (201) 857-2370
- **Practice address fax:** (201) 857-2371
- **Mailing address:** 81 N MAPLE AVE, RIDGEWOOD, NJ 07450-3234
- **Mailing address phone:** (201) 857-2370
- **Mailing address fax:** (201) 857-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NJ | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 05/11/2010