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Individual

RITA GROGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1250 EAST RIDGEWOOD AVE, #B, RIDGEWOOD, NJ 07450-3930
(201) 445-0506
(201) 612-8960
Mailing address
1250 EAST RIDGEWOOD AVE, #B, RIDGEWOOD, NJ 07450-3930
(201) 445-0506
(201) 612-8960

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06082900
NJ

Other

Enumeration date
05/14/2007
Last updated
01/12/2017
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