Dr. Jennifer M Ridge, M.D.
Dermatology in Middletown, OH. Individual provider (NPI-1).
NPI number1932192515
StatusActive
Last updated in NPPESApr 5, 2024
Details
- NPI
- 1932192515
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer M Ridge
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2005
- Certification date
- Apr 5, 2024
- Last updated
- Apr 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 35.060180 | OH | Yes |
| 174400000X | Specialist | 35060180 | OH | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 35.060180 | OH | |
| 207NS0135X | Dermatology, Procedural Dermatology | 35.060180 | OH |
Practice location
210 N Breiel BlvdMiddletown, OH 45042-3808
Phone 513-424-7231 · Fax 513-424-1770
Mailing address
1 Gardner PlMiddletown, OH 45042-2338
Phone 513-727-8313
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