Organization
RIDGEWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH HAGGETT (ADMINISTRATOR)
(856) 983-7337
Entity
Organization
Contact information
Practice address
797 THOMAS LN, COLUMBUS, OH 43214-3903
(856) 983-7337
Mailing address
797 THOMAS LN, COLUMBUS, OH 43214-3903
(856) 983-7337
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
0600225316
NJ
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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