Individual
DR. ANDRE ARMAND FEDIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 MARTIN LUTHER KING JR BLVD, 4TH FLOOR, NEWARK, NJ 07102-2011
(973) 877-2580
(973) 877-2578
Mailing address
306 MARTIN LUTHER KING JR BLVD, 4TH FLOOR, NEWARK, NJ 07102-2011
(973) 877-2580
(973) 877-2578
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA054073
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049504
—
NJ
Enumeration date
02/17/2007
Last updated
07/08/2007
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