Organization
RIDDLE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT RIDDLE MD (OWNER)
(201) 618-1818
Entity
Organization
Contact information
Practice address
401 SYLVAN PL, HAWORTH, NJ 07641-1729
(201) 618-1818
Mailing address
PO BOX 29, HAWORTH, NJ 07641-0029
(201) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA177617
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02752096
—
NY
Enumeration date
05/26/2006
Last updated
11/20/2013
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