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Individual

DR. FREDERICK JOHN NAHAS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
631 SHORE RD, SOMERS POINT, NJ 08244-2483
(609) 653-1010
(609) 653-9591
Mailing address
PO BOX 291, 631 SHORE RD., SOMERS POINT, NJ 08244-0291
(609) 653-1010
(609) 653-9591

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA03497900
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA03497900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2992906
NJ
Enumeration date
07/15/2006
Last updated
05/01/2008
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