Individual
DR. JOHN FRATTAROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
(201) 907-0229
Mailing address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
(201) 907-0229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03819000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073913000
AMERIHEALTH ID #
NJ
01
—
1042435
HORIZON NJ HEALTH ID #
NJ
01
—
1160888
HORIZON NJ HEALTH
NJ
01
—
160041568
RAILROAD MEDICARE
NJ
01
—
17258
UNIVERSITY HEALTH PLANS
NJ
01
—
24464
AMERICAID AMERIGROUP
NJ
01
—
2K1111
HEALTHNET
NJ
05
—
3287203
—
NJ
01
—
4401167
AETNA PPO ID #
NJ
01
—
560039
AETNA HMO ID #
NJ
01
—
BP355
OXFORD ID #
NJ
Enumeration date
03/24/2006
Last updated
06/10/2008
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