Individual
CARLOS FRIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
525 UNION BLVD, TOTOWA, NJ 07512-2442
(973) 928-5360
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA 59100
NJ
207L00000X
Anesthesiology Physician
Primary
25MA05910000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5612403
—
NJ
Enumeration date
05/23/2005
Last updated
08/22/2023
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