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General NPI Number Information
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NPI Number | 1447256706
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Entity Type | Individual
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Provider Name | MICHAEL J. RIEDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 08/24/2012
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Provider Practice Location Address
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Address Line | 2501 KUSER RD
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City | HAMILTON
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State | NJ
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Zip | 08691-3302
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Country | US
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Telephone | 609-585-8800
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Fax | 609-585-1825
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Provider Business Mailing Address
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Address Line | 3625 QUAKERBRIDGE ROAD
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City | HAMILTON
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 609-689-1600
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Fax | 609-689-1200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MA05625800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD039307E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MA05625800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD039307E
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0009674
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | C1-0009674
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License Number State | DE
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