Individual
JOHN W RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00118100
NJ
213E00000X
Podiatrist
SC003575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056291
GHI
—
01
—
0109018000
INDENPENDENCE BLUE CROSS
PA
01
—
0513900000
KEYSTONE HEALTH PLAN
PA
01
—
0879760
CIGNA
NJ
01
—
10062
AMERIGROUP
NJ
01
—
1135993
HORIZON NJ HEALTH
NJ
01
—
16277
UNIVERSITY HEALTH PLAN
—
05
—
3182002
—
NJ
01
—
46711
AETNA
NJ
01
—
71268
OPERATING ENGINEERS
NJ
01
—
ME000007500
AMERICHOICE
NJ
01
—
P927643
OXFORD INSURANCE
NJ
Enumeration date
07/24/2006
Last updated
01/10/2012
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