Individual
MICHEL-ANGE FERDINAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 JEFFERSON AVE, ELIZABETH, NJ 07201
(908) 351-6663
(903) 351-1760
Mailing address
115 JEFFERSON AVE, PO BOX 470, ELIZABETH, NJ 07201
(908) 351-6663
(903) 351-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA41866
NJ
207Q00000X
Family Medicine Physician
ME62196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8654506
—
NJ
Enumeration date
09/07/2006
Last updated
05/13/2009
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