# RIDGEDALE FAMILY MEDICAL ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1295969152
- **Authorized official:** DR. GIUSEPPE MARZELLA M.D. (PRESIDENT)
- **Authorized official phone:** (973) 887-0200

## Contact information

- **Practice address:** 383 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1445
- **Practice address phone:** (973) 887-0200
- **Practice address fax:** (973) 887-4965
- **Mailing address:** 383 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1445
- **Mailing address phone:** (973) 887-0200
- **Mailing address fax:** (973) 887-4965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MA059758 | NJ | Yes |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/07/2009
