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Dr. Jose R Fragoso, MD
Pediatric Adolescent Medicine Physician in Union City, New Jersey
NPI 1164497624

Jose R Fragoso is a Pediatric Adolescent Medicine Physician based in Union City, NJ and is specialized in Adolescent Medicine. Jose R Fragoso practices in Union City, NJ and has the professional credentials of MD. The NPI Number for Jose R Fragoso is 1164497624 and holds a License No. 25MA04358900 (New Jersey).

The current practice location address for Jose R Fragoso is 4808 Bergenline Ave, Union City, NJ and can be reached out via phone at 201-865-3444 and via fax at 201-865-0038.

Location: 4808 Bergenline Ave, Union City, NJ, 07087-5172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164497624
Provider Name
Jose R Fragoso
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4808 Bergenline Ave, Union City, NJ, 07087-5172
Phone Number
201-865-3444
Fax Number
201-865-0038
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81801 01 NH AMERIGROUP
HP080 01 NJ OXFORD
1140004 01 NJ HORIZON NJ HEALTH
institution
Provider Business Practice Location Address Details
Address
4808 Bergenline Ave
City
Union City
State
New Jersey
Zip
07087-5172
Phone Number
201-865-3444
Fax Number
201-865-0038
person
Provider Business Mailing Address Details
Address
4808 Bergenline Ave
City
Union City
State
New Jersey
Zip
07087-5172
Phone Number
201-865-3444
Fax Number
201-865-0038
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
25MA04358900 (New Jersey)
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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