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NPI Code Detail

MEDICARE: DR. PATRICIA ARDISE M.D.

MEDICARE: DR. PATRICIA ARDISE M.D.
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
1207V00000XObstetrics & Gynecology Physician25MA08369400NJ

General Provider Information

NPI Number : 1770526550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA ARDISE M.D.
Provider Business Mailing Address
First Line : 4 WALTER E FORAN BLVD STE 302
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4668
Country : US
Telephone Number : 908-284-5295
Fax Number :
Provider Business Practice Location Address
First Line : 4 WALTER E FORAN BLVD STE 302
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4668
Country : US
Telephone Number : 908-806-0080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 03/09/2022

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