Individual
DR. IMAD M ARIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
76 W JIMMIE LEEDS RD, 76 WEST PARK CENTRE, SUITE 301, GALLOWAY, NJ 08205-9411
(609) 652-2555
(609) 652-1283
Mailing address
76 W JIMMIE LEEDS RD, 76 WEST PARK CENTRE, SUITE 301, GALLOWAY, NJ 08205-9411
(609) 652-2555
(609) 652-1283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA04727700
NJ
207R00000X
Internal Medicine Physician
Primary
25MA04727700
NJ
2085R0202X
Diagnostic Radiology Physician
25MA04727700
NJ
208600000X
Surgery Physician
25MA04727700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010972
US HEALTHCARE
NJ
01
—
0396670000
AMERIHEALTH
NJ
05
—
3594700
—
NJ
01
—
4727700
AETNA
NJ
01
—
532743
PENNSYLVANIA BLUE SHIELD
PA
01
—
80340
AMERIGROUP
NJ
01
—
ATP016
OXFORD
NJ
01
—
OK6443
HEALTHNET
NJ
Enumeration date
05/12/2006
Last updated
10/19/2007
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