Provider Demographics
NPI:1063478261
Name:RIDKER, PAUL M (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:RIDKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:900 COMMONWEALTH AVE EAST
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-278-0869
Mailing Address - Fax:
Practice Address - Street 1:900 COMMONWEALTH AVE EAST
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-278-0869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2012-07-19
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Provider Licenses
StateLicense IDTaxonomies
MA60007207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease