Individual
DR. RONALD R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 530-7918
(201) 357-8207
Mailing address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 530-7918
(201) 357-8207
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA04836200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010048715
MEDICARE RAILROAD
NJ
01
—
222019103
BCBS
NJ
05
—
3448908
—
NJ
Enumeration date
02/03/2006
Last updated
05/25/2018
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