Individual
DR. ALBERT RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 SYLVAN PL, HAWORTH, NJ 07641-1729
(201) 518-1818
Mailing address
PO BOX 29, HAWORTH, NJ 07641-0029
(201) 512-9494
(201) 512-1995
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA177617
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01416926
—
NY
Enumeration date
05/08/2006
Last updated
01/24/2008
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