Individual
DR. DOROTHY MYRIDAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BROADWAY, SUITE 203, ELMWOOD PARK, NJ 07407-1842
(973) 569-6250
(973) 569-6270
Mailing address
1 BROADWAY, SUITE 203, ELMWOOD PARK, NJ 07407-1842
(973) 569-6250
(973) 569-6270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA058605
NJ
2080P0202X
Pediatric Cardiology Physician
Primary
25MA05860500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5518300
—
NJ
Enumeration date
01/24/2007
Last updated
05/20/2024
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