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Individual

JOSEPH J FRATELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
385 SUMMIT AVE, LEONIA, NJ 07605-1339
(201) 302-9431
Mailing address
385 SUMMIT AVENE, LEONIA, NJ 07605
(201) 302-9431

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168195
NY
207R00000X
Internal Medicine Physician
Primary
25MA07010000
NJ

Other

Enumeration date
06/13/2006
Last updated
07/08/2007
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