# RIDGEWOOD ASSOCIATES IN INTERNAL MEDICINE

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

## Provider details

- **NPI number:** 1295776185
- **Authorized official:** ANTHONY P. PETRILLO PA-C (BUSINESS MANAGER)
- **Authorized official phone:** (802) 886-2526

## Contact information

- **Practice address:** 368 RIVER ST, SPRINGFIELD, VT 05156-2242
- **Practice address phone:** (802) 886-2526
- **Practice address fax:** (802) 886-2225
- **Mailing address:** 368 RIVER ST, SPRINGFIELD, VT 05156-2242
- **Mailing address phone:** (802) 886-2526
- **Mailing address fax:** (802) 886-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 11/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006033 | — | VT |
| 05 | — | 99006033 | — | NH |