Individual
ASHRAF FALTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
596 ANDERSON AVE, SUITE 201, CLIFFSIDE PARK, NJ 07010-1831
(201) 313-3222
(201) 313-3220
Mailing address
596 ANDERSON AVE, SUITE 201, CLIFFSIDE PARK, NJ 07010-1831
(201) 313-3222
(201) 313-3220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07315400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8672008
—
NJ
Enumeration date
09/02/2006
Last updated
09/18/2007
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