Jose R Fragoso in Union City - Adolescent Medicine
Jose R Fragoso - NPI 1164497624
Jose R Fragoso is a Adolescent Medicine in Union City, New Jersey. Jose R Fragoso practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jose R Fragoso is 1164497624. The last update date is 2021-02-04.
Jose R Fragoso's current location address is 4808 Bergenline Ave, Union City, New Jersey. You can contact this provider via phone number 2018653444 and fax number 2018650038. The mailing address for Jose R Fragoso is 4808 Bergenline Ave, Union City, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose R Fragoso |
|---|---|
| Address | 4808 Bergenline Ave, Union City, New Jersey |
| Phone Number | 2018653444 |
| Fax Number | 2018650038 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164497624 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2021-02-04 |
Provider Mailing Address Detail
| Address | 4808 Bergenline Ave |
|---|---|
| City | Union City |
| State | New Jersey (NJ) |
| Post Code | 70875172 |
| Phone Number | 2018653444 |
| Fax Number | 2018650038 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 25MA04358900 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81801 | NH | AMERIGROUP | |
| HP080 | NJ | OXFORD | |
| 1140004 | NJ | HORIZON NJ HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jose R Fragoso by the Centers for Medicare & Medicaid Services?
The Jose R Fragoso has been assigned the NPI (National Provider Identifier) 1164497624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jose R Fragoso is physically located?
The Jose R Fragoso is situated at the following address: 4808 Bergenline Ave, Union City, NJ 70875172.
What is Jose R Fragoso's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jose R Fragoso is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.
When did the Jose R Fragoso receive its 1164497624?
The Jose R Fragoso was issued its 1164497624 on 2006-02-20, which is the date when the organization was assigned this unique identifier.
When was the information related to Jose R Fragoso most recently updated or refreshed?
The details pertaining to the Jose R Fragoso, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-04.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY