Organization
RIDGEWOOD ORTHOPEDIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P PIZZURRO MD (PARTNER)
(201) 445-2830
Entity
Organization
Contact information
Practice address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02491500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043687
AETNA HMO GROUP #
NJ
01
—
5153671
AETNA PPO GROUP #
NJ
01
—
6471940001
MEDICARE DME
NJ
01
—
CB2844
RAILROAD MEDICARE GROUP #
NJ
Enumeration date
06/04/2006
Last updated
09/28/2011
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