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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1528098068 NPPES
New Jersey MEDICAID 7177003

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