| Ridge Road Physicians LLC | |
|
222 South St Freehold NJ 07728-2619 | |
| (732) 387-7795 | |
| Not Available |
| Full Name | Ridge Road Physicians LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 South St, Freehold, New Jersey |
| Authorized Official Name and Position | Kiran M Medasani (MEMBER) |
| Authorized Official Contact | 9086704136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Road Physicians LLC 399 Gallya Grv Morganville NJ 07751-4444 Ph: (908) 670-4136 | Ridge Road Physicians LLC 222 South St Freehold NJ 07728-2619 Ph: (732) 387-7795 |
| NPI Number | 1699023002 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 05/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699023002 | NPI | - | NPPES |
| 1417251703 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08924900 (New Jersey) | Primary |
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