Organization
RIDGEWOOD PATHOLOGY GROUP,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H REILLY M.D. (PRESIDENT)
(201) 447-8242
Entity
Organization
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8242
(201) 251-3314
Mailing address
570 UPPER BLVD, RIDGEWOOD, NJ 07450-1508
(201) 444-0451
(201) 493-9534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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