Organization
FAMILY MEDICAL PRACTICE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE MARIE CONDON DO (PHYSICIAN)
(201) 689-1933
Entity
Organization
Contact information
Practice address
106 PROSPECT ST, RIDGEWOOD, NJ 07450
(201) 689-1933
(201) 689-1935
Mailing address
106 PROSPECT ST, RIDGEWOOD, NJ 07450
(201) 689-1933
(201) 689-1935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB54119
NJ
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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