Individual
DR. JENNIFER M RIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 N BREIEL BLVD, MIDDLETOWN, OH 45042-3808
(513) 424-7231
(513) 424-1770
Mailing address
1 GARDNER PL, MIDDLETOWN, OH 45042-2338
(513) 727-8313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35060180
OH
207N00000X
Dermatology Physician
Primary
35.060180
OH
207ND0101X
MOHS-Micrographic Surgery Physician
35.060180
OH
207NS0135X
Procedural Dermatology Physician
35.060180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0996294
—
OH
Enumeration date
08/29/2005
Last updated
04/05/2024
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