Provider Demographics
NPI:1639516891
Name:RIEDLINGER, GREGORY M (MD, PHD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:M
Last Name:RIEDLINGER
Suffix:
Gender:M
Credentials:MD, PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:195 LITTLE ALBANY ST RM 3553
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1914
Mailing Address - Country:US
Mailing Address - Phone:732-235-8978
Mailing Address - Fax:
Practice Address - Street 1:RUTGERS CANCER INSTITUTE OF NEW JERSEY
Practice Address - Street 2:195 LITTLE ALBANY PARKWAY, ROOM 3553
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08903-0890
Practice Address - Country:US
Practice Address - Phone:732-235-8978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09738600207ZP0102X, 207ZP0007X
MAL-255276207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology