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Organization

JOSEPH J. RIDILLA,D.O.PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH JOHN RIDILLA II D.O. (PRESIDENT)
(570) 825-4460
Entity
Organization

Contact information

Practice address
476 E NORTHAMPTON ST, WILKES BARRE, PA 18702-6329
(570) 825-4460
(570) 825-6140
Mailing address
476 E NORTHAMPTON ST, WILKES BARRE, PA 18702-6329
(570) 825-4460
(570) 825-6140

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS007440L
PA

Other

Enumeration date
03/22/2012
Last updated
03/22/2012
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