Individual
DR. MICHAEL FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1C NEW AMWELL RD, HILLSBOROUGH, NJ 08844-5006
(908) 725-5530
(908) 874-3288
Mailing address
3322 US HIGHWAY 22 W, BUILDING 10, SUITE 1002, BRANCHBURG, NJ 08876-3476
(908) 725-5530
(908) 253-6559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04436600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1390309
—
NJ
Enumeration date
06/06/2006
Last updated
03/07/2008
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