Individual
MR. DANIEL FALDRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
3600 ROUTE 66 STE 400, NEPTUNE, NJ 07753-2645
(732) 363-6655
Mailing address
707 N BROAD ST APT 3G, ELIZABETH, NJ 07208-2317
(908) 414-8208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00812800
NJ
Other
Enumeration date
08/31/2023
Last updated
10/18/2023
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