Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 030090E | PA |
Y | 207RI0200X | Infectious Disease | 61886 | NJ |
NPI | 1003171299 |
---|---|
Provider Name | Dr. John Franklyn Riefler III |
First Address | Ridgewood, NJ 07450-1407 |
Second Address | Ridgewood, NJ 07450-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 12/07/2012 |