Condon, Marjorie Marie
Condon, Marjorie Marie is an individual health care provider with primary practice located at 106 Prospect St , Ridgewood NJ 07450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Condon, Marjorie Marie can be contacted via phone (201) 689-1933.Contact Information
Primary practice address
106 Prospect St
Ridgewood NJ 07450
Phone: (201) 689-1933
Fax: (201) 689-1935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB54119 | New Jersey |
Profile Details
| NPI number | 1528098068 |
|---|---|
| LBN Legal business name | Condon, Marjorie Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jan 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528098068 | NPPES |
| New Jersey | MEDICAID | 7177003 |
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