Ridgewood Infectious Disease Associates, Pa in Ridgewood - Specialist
Ridgewood Infectious Disease Associates, Pa - NPI 1487851903
Ridgewood Infectious Disease Associates, Pa is a Specialist in Ridgewood, New Jersey. Ridgewood Infectious Disease Associates, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ridgewood Infectious Disease Associates, Pa is 1487851903. The last update date is 2008-04-20.
Ridgewood Infectious Disease Associates, Pa's current location address is 141 Dayton St, Ridgewood, New Jersey. You can contact this provider via phone number 2014476468 and fax number 2014473189. The mailing address for Ridgewood Infectious Disease Associates, Pa is 141 Dayton St, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ridgewood Infectious Disease Associates, Pa |
|---|---|
| Address | 141 Dayton St, Ridgewood, New Jersey |
| Phone Number | 2014476468 |
| Fax Number | 2014473189 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DELEGATED |
|---|---|
| Authorized Official Name | Knackmuhs G Gary |
| Credentials | M.D. |
| Telephone Number | 2014476468 |
NPI Number Detail
| NPI Number | 1487851903 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 141 Dayton St |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74504496 |
| Phone Number | 2014476468 |
| Fax Number | 2014473189 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA03896800 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1084470 | NJ | AETNA HMO GROUP # | |
| 7117748 | NJ | AETNA PPO GROUP # | |
| 3240509 | NJ | -- | |
| CM1037 | NJ | RAILROAD MCR GROUP # |
Post Comment/ Review Below
What is the Ridgewood Infectious Disease Associates, Pa's unique identification number?
The Ridgewood Infectious Disease Associates, Pa has been assigned the NPI (National Provider Identifier) Number 1487851903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Ridgewood Infectious Disease Associates, Pa's facilities are situated?
The facilities of Ridgewood Infectious Disease Associates, Pa are physically located at the following address: 141 Dayton St, Ridgewood, NJ, 74504496.
What is Ridgewood Infectious Disease Associates, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ridgewood Infectious Disease Associates, Pa is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Ridgewood Infectious Disease Associates, Pa receive its 1487851903 assignment from the Centers for Medicare & Medicaid Services?
The Ridgewood Infectious Disease Associates, Pa was assigned its 1487851903 by the Centers for Medicare & Medicaid Services on 2007-06-28.
When was the information regarding Ridgewood Infectious Disease Associates, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ridgewood Infectious Disease Associates, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.