Individual
DR. IDA M. CARIDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3253 ROUTE 35, HAZLET, NJ 07730
(732) 888-7646
(732) 888-7649
Mailing address
P.O. BOX 8519, RED BANK, NJ 07701
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05809300
NJ
207RR0500X
Rheumatology Physician
Primary
25MA05809300
NJ
Other
Enumeration date
08/16/2011
Last updated
11/17/2016
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