Ridgewood Infectious Disease Associates, PA
NPI #1487851903 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1487851903
- Entity Type
- Organization
- Organization Name
- Ridgewood Infectious Disease Associates, PA
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 141 DAYTON ST
- Address 2
- SUITE 201
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4496
- Phone
- (201) 447-6468
Authorized Official
- Name
- GARY G KNACKMUHS, M.D.
- Title
- DELEGATED OFFICIAL
- Phone
- (201) 447-6468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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