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Contact Information

ISMAR DIZDAREVIC, MD
85 S MAPLE AVE
RIDGEWOOD, NJ07450-4561
 Phone: 201-445-2830
 Fax: 201-445-7471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ISMAR DIZDAREVIC · (Male)

NPI # 1245525294
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2011
Last updated 04/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10088800
Hospital affiliation(s)
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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