Individual
EDWARD B SELF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 S MAPLE AVE, STE 101, RIDGEWOOD, NJ 07452-1543
(201) 447-1188
(201) 447-8935
Mailing address
385 S MAPLE AVE, STE 101, RIDGEWOOD, NJ 07452-1543
(201) 447-1188
(201) 447-8935
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA33233
NJ
Other
Enumeration date
06/21/2006
Last updated
09/09/2008
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