Dr. Jose R Fragoso
MD | Pediatric Adolescent Medicine | Male
Dr. Jose R Fragoso, MD is a Union City, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine. Dr. Jose R Fragoso is also known as
Jose R Fragoso.
Current practice location of Dr. Jose R Fragoso is
4808 Bergenline Ave, 5th Floor, Union City, New Jersey - 07087-5172. He can be contacted on phone at
201-865-3444 and fax number 201-865-0038.
Dr. Jose R Fragoso is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jose R Fragoso is
1164497624 which was assigned by NPPES on 20 Feb, 2006 and it was last updated on 04 Feb, 2021.
Dr. Jose R Fragoso license number is
25MA04358900 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Dr. Jose R Fragoso 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.
Complete Profile:
Dr. Jose R Fragoso basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Jose R Fragoso |
|---|
| Other Name : | Jose R Fragoso |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Jose R Fragoso address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4808 Bergenline Ave, 5th Floor
Union City, NJ, 07087-5172
United States |
|---|
| Phone Number : | 201-865-3444 |
|---|
| Fax Number : | 201-865-0038 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164497624 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 20 Feb, 2006 |
|---|
| Last Updated On : | 04 Feb, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jose R Fragoso are as mentioned. Primary taxonomy code for Dr. Jose R Fragoso, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 25MA04358900 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jose R Fragoso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1140004 | Other | NJ | HORIZON NJ HEALTH |
| 81801 | Other | NH | AMERIGROUP |
| HP080 | Other | NJ | OXFORD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4808 Bergenline Ave, 5th Floor
Union City, NJ, 07087-5172
United States |
|---|
| Phone Number : | 201-865-3444 |
|---|
| Fax Number : | 201-865-0038 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Jose R Fragoso practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.