Active NPIIndividual provider

Dr. Leonard V Ridilla, MD

Family Medicine in Haddonfield, New Jersey

NPI Number1568468692
Practice location
15 E Redman Ave, Haddonfield, NJ 08033-2316
Fax
856-428-6334
Last updated
February 2, 2010

Leonard V Ridilla is a Family Medicine based in Haddonfield, NJ. Leonard V Ridilla practices in Haddonfield, NJ and has the professional credentials of MD. The NPI Number for Leonard V Ridilla is 1568468692 and holds a License No. MA05731800 (PA). The current practice location address for Leonard V Ridilla is 15 E Redman Ave, Haddonfield, NJ 08033-2316 and can be reached out via phone at 856-428-1335 and via fax at 856-428-6334.

Provider Profile Details

NPI Number
1568468692
Provider Name
Leonard V Ridilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 E Redman Ave, Haddonfield, NJ 08033-2316
Phone Number
856-428-1335
Fax Number
856-428-6334
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2005
Last Update Date
February 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 E Redman Ave
Haddonfield, NJ 08033-2316
Zip
08033-2316
Phone Number
856-428-1335
Fax Number
856-428-6334
Haddonfield, NJ 08033Get directions →

Provider Business Mailing Address Details

Address
15 E Redman Ave
Haddonfield, NJ 08033-2316
City
Haddonfield
State
NJ
Zip
08033-2316
Phone Number
856-428-1335
Fax Number
856-428-6334

License Information

License Number
MA05731800
License State
PA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Leonard V Ridilla, MD?

The NPI number of Dr. Leonard V Ridilla, MD is 1568468692. It was assigned on June 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Leonard V Ridilla, MD?

Dr. Leonard V Ridilla, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number MA05731800.

Where does Dr. Leonard V Ridilla, MD practice?

The practice location is 15 E Redman Ave, Haddonfield, NJ 08033-2316. The office can be reached at 856-428-1335 (phone) or 856-428-6334 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568468692 directly on the NPPES registry website.

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