Individual
ALICE E RIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 W NEWPORT RD, LITITZ, PA 17543-7774
(717) 627-2108
Mailing address
6 W NEWPORT RD, LITITZ, PA 17543-7774
(717) 627-2108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD033952E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001087606
—
PA
Enumeration date
06/12/2006
Last updated
09/06/2011
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