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Contact Information

RICHARD F IANNACONE, DO
VALLEY HOSPITAL
233 VAN DIEN AVE
RIDGEWOOD, NJ07450
 Phone: 201-447-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for RICHARD F IANNACONE · (Male)

NPI # 1295795458
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MB05568500
  • NJ Medicaid 6067204
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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