Fedida, Andre Armand

Fedida, Andre Armand is an sole proprietor health care provider with primary practice located at 306 Martin Luther King Jr Blvd 4Th Floor, Newark NJ 07102-2011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fedida, Andre Armand can be contacted via phone (973) 877-2580.

Contact Information

Primary practice address
306 Martin Luther King Jr Blvd 4Th Floor Newark NJ 07102-2011
Phone: (973) 877-2580
Fax: (973) 877-2578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA054073 New Jersey

Profile Details

NPI number 1891839312
LBN Legal business name Fedida, Andre Armand
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891839312 NPPES
New Jersey MEDICAID 5049504

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