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Individual

CLARO ASPREC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3099 ROUTE 516, OLD BRIDGE, NJ 08857-2326
(732) 679-8200
(732) 679-8201
Mailing address
3099 ROUTE 516, OLD BRIDGE, NJ 08857-2326
(732) 679-8200
(732) 679-8201

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06092500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0161637
GHI PPO #
NJ
01
0764925000
AMERIHEALTH #
NJ
01
1085719
HORIZON NJ HEALTH
01
1108355
GHI
01
13374
UNIVERSITY HEALTH PLANS #
NJ
01
223442277
TAX ID #
NJ
01
23132
AMERIGROUP #
NJ
01
2609945-001
CIGNA
01
301150
US FAMILY HEALTH PLAN
01
3730109001
AMERIGROUP
NJ
01
3730109001
AMERIHEALTH
01
3K6945
HEALTHNET #
NJ
01
4068580
AETNA HMO #
NJ
01
4K2471
HEALTHNET
01
5079096
AETNA PPO #
NJ
01
5079096
AETNA HMO
01
60016913
HORIZON NJ HEALTH #
NJ
01
668X71
EMPIRE BC/BS #
NJ
01
764925000
AMERIHEALTH
01
784978
AMERIHEALTH ADMINISTRATORS
01
F20353
AMERIHEALTH ADMINISTRATORS
01
HUL000060-02
UHC COMMUNITY AND STATE PLAN
NJ
01
HUL00006001
AMERICHOICE #
NJ
01
P2047953
OXFORD
01
P3630269
OXFORD #
NJ
Enumeration date
06/16/2006
Last updated
02/17/2011
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