Individual
MARJORIE MARIE CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7177003
—
NJ
Enumeration date
07/03/2006
Last updated
01/13/2011
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