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Individual

DR. FATEN FARID MORKOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 483-3787
Mailing address
319 WASHINGTON AVE, NUTLEY, NJ 07110-1935
(973) 661-5170

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08120700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108863
NJ
01
1194996645
444 WILLIAM STREET
NJ
01
1235300799
37 N DAY
NJ
01
1740345693
741 BROADWAY
NJ
01
1932370483
101 LUDLOW
NJ
01
19727784113
1150 SPRINGFIELD AVENUE
NJ
Enumeration date
07/31/2006
Last updated
06/06/2008
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