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NPI Code Detail

MEDICARE: RINGWOOD MEDICAL ASSOCIATES PA

MEDICARE: RINGWOOD MEDICAL ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMB48584NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CL5898OTHERNJRAILROAD MEDICARE GROUP#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18421330OTHERNJAETNA PPO GROUP#
20040274OTHERNJAETNA HMO GROUP#

General Provider Information

NPI Number : 1396742102
Entity Type Code : Organization
Provider Name (Legal Business Name) : RINGWOOD MEDICAL ASSOCIATES PA
Provider Business Mailing Address
First Line : 52 SKYLINE DR
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2020
Country : US
Telephone Number : 973-962-6200
Fax Number : 973-962-0046
Provider Business Practice Location Address
First Line : 52 SKYLINE DR
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2020
Country : US
Telephone Number : 973-962-6200
Fax Number : 973-962-0046
Authorized Official
Title or Position : PHYSICIAN
Name : ROBERT MILLS
Credential : D.O.
Telephone Number : 973-962-6200
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/10/2008

Similar Medicare Providers

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07456-2020
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1437348976 — JEANNETTE CAROL DAVISON APNC
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Practice Location Address:
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1356504963 — DR. ROBERT M. ZAHN D.D.S.
Practice Location Address:
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Directions to “RINGWOOD MEDICAL ASSOCIATES PA ” Practice Location

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