Individual
HEIDI AHLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 GLENWOOD RD, RIDGEWOOD, NJ 07450-1332
(201) 445-1764
Mailing address
310 GLENWOOD RD, RIDGEWOOD, NJ 07450-1332
(201) 445-1764
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MA 51043
NJ
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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