Fragoso, Michael

Fragoso, Michael is an individual health care provider with primary practice located at 1C New Amwell Rd , Hillsborough NJ 08844-5006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fragoso, Michael can be contacted via phone (908) 725-5530.

Contact Information

Primary practice address
1C New Amwell Rd Hillsborough NJ 08844-5006
Fax: (908) 874-3288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04436600 New Jersey

Profile Details

NPI number 1255370730
LBN Legal business name Fragoso, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 7th, 2008 - 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 1255370730 NPPES
New Jersey MEDICAID 1390309

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