Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 64729 | CT |
N | 207X00000X | Orthopaedic Surgeon | MA53039 | NJ |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA05303900 | NJ |
NPI | 1831161751 |
---|---|
Provider Name | Dr. Mark A Rieger |
First Address | Cedar Knolls, NJ 07927-2109 |
Second Address | Cedar Knolls, NJ 07927-2109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E22035 | (02) | NJ |