Individual
DR. EMAD T. FARAGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3100
Mailing address
282 ILYSSA WAY, STATEN ISLAND, NY 10312-1382
(718) 605-6651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
248387
NY
207L00000X
Anesthesiology Physician
Primary
25MA08397800
NJ
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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