Individual
JOSEPH RENNOLD WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 CHESTNUT ST, RIDGEWOOD, NJ 07450-2502
(201) 493-8111
Mailing address
210 S VAN DIEN AVE, RIDGEWOOD, NJ 07450-5216
(201) 753-8835
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA02235200
NJ
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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