Ridge, John Andrew

Ridge, John Andrew is an individual health care provider with primary practice located at 333 Cottman Ave Fox Chase Cancer Center, Philadelphia PA 19111-2434. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Ridge, John Andrew can be contacted via phone (215) 728-6900.

Contact Information

Primary practice address
333 Cottman Ave Fox Chase Cancer Center Philadelphia PA 19111-2434
Phone: (215) 728-6900
Fax: (215) 728-2773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD045188L Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD045188L Pennsylvania

Profile Details

NPI number 1841212008
LBN Legal business name Ridge, John Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 13th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841212008 NPPES
Pennsylvania MEDICAID 0012530730001

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