Provider Demographics
NPI:1588741227
Name:OBSTETRIC & GYNECOLOGIC ASSOCIATES OF RIDGEWOOD PA
Entity type:Organization
Organization Name:OBSTETRIC & GYNECOLOGIC ASSOCIATES OF RIDGEWOOD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHULZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-445-5500
Mailing Address - Street 1:550 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1632
Mailing Address - Country:US
Mailing Address - Phone:201-445-5500
Mailing Address - Fax:201-447-0378
Practice Address - Street 1:550 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1632
Practice Address - Country:US
Practice Address - Phone:201-445-5500
Practice Address - Fax:201-447-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty