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Organization

FLJ & M MEDICAL PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK SANTOS MD (PRESIDENT)
(201) 941-4405
Entity
Organization

Contact information

Practice address
115 RIVER RD STE 305, EDGEWATER, NJ 07020-1009
(201) 941-4405
(201) 941-4408
Mailing address
353 EAST HARRIET AVENUE, PALISADES PARK, NJ 07650
(201) 941-4405
(201) 941-4408

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180274P4P
MEDICARE ID-TYPE UNSPECIFIED
Enumeration date
09/29/2009
Last updated
07/22/2010
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