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Organization
RIDGEDALE FAMILY MEDICAL LLC
Active
Organization
RIDGEDALE FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIUSEPPE MARZELLA MD (PRESIDENT)
(973) 887-0200
Entity
Organization
Contact information
Practice address
383 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1445
(973) 887-0200
(973) 887-4965
Mailing address
383 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1445
(973) 887-0200
(973) 887-4965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA 05978
NJ
208000000X
Pediatrics Physician
MA 05978
NJ
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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