Organization
PARK RIDGE GERIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED HUSSAINI MD (OWNER)
(973) 578-9739
Entity
Organization
Contact information
Practice address
235 HOMESTEAD PL, PARK RIDGE, NJ 07656-2438
(973) 578-9739
Mailing address
PO BOX 557, PARK RIDGE, NJ 07656-0557
(201) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA69195
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8346101
—
NJ
Enumeration date
05/26/2006
Last updated
07/18/2008
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