Organization
JOSEPH PETER FODERO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PETER FODERO MD (OWNER)
(973) 295-6565
Entity
Organization
Contact information
Practice address
220 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1348
(973) 295-6565
(973) 295-6567
Mailing address
220 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1348
(973) 295-6565
(973) 295-6567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06938000
NJ
Other
Enumeration date
01/09/2008
Last updated
03/20/2012
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