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General NPI Number Information
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NPI Number | 1639516891
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Entity Type | Individual
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Provider Name | GREGORY M RIEDLINGER MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | RUTGERS CANCER INSTITUTE OF NEW JERSEY 195 LITTLE ALBANY PARKWAY, ROOM 3553
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08903-0890
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Country | US
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Telephone | 732-235-8978
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Fax |
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Provider Business Mailing Address
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Address Line | 195 LITTLE ALBANY ST RM 3553
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1914
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Country | US
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Telephone | 732-235-8978
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Fax |
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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 | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 25MA09738600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 25MA09738600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | L-255276
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 25MA09738600
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License Number State | NJ
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