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Marjorie Marie Condon, DO

Family Medicine in Ridgewood, NJ. Individual provider (NPI-1).

NPI number1528098068
StatusActive
Last updated in NPPESJan 13, 2011

Details

NPI
1528098068
Entity type
Individual (NPI-1)
Name
Marjorie Marie Condon
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2006
Last updated
Jan 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMB54119NJYes

Practice location

106 Prospect St
Ridgewood, NJ 07450

Phone 201-689-1933 · Fax 201-689-1935

Mailing address

106 Prospect St
Ridgewood, NJ 07450

Phone 201-689-1933 · Fax 201-689-1935

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