Provider Demographics
NPI:1437566866
Name:JULIA RIFTINE MD OBSTETRICS AND GYNECOLOGY PC
Entity Type:Organization
Organization Name:JULIA RIFTINE MD OBSTETRICS AND GYNECOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIFTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-734-9350
Mailing Address - Street 1:55 MEADOWLANDS PKWY
Mailing Address - Street 2:SUITE 436
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2977
Mailing Address - Country:US
Mailing Address - Phone:201-392-3063
Mailing Address - Fax:201-392-3069
Practice Address - Street 1:55 MEADOWLANDS PKWY
Practice Address - Street 2:SUITE 436
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2977
Practice Address - Country:US
Practice Address - Phone:201-392-3063
Practice Address - Fax:201-392-3069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08303000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty