Organization
FAMILY HEALTH FIRST P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM V LAGRADA MD (OWNER)
(732) 549-3490
Entity
Organization
Contact information
Practice address
1300 MAIN AVE, SUITE 2D, CLIFTON, NJ 07011-2266
(973) 246-6901
(973) 246-6902
Mailing address
1300 MAIN AVE, SUITE 2D, CLIFTON, NJ 07011-2266
(973) 246-6901
(973) 246-6902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06993200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033855
—
NJ
01
—
9X3221
MEDICARE ID-TYPE UNSPECIFIED
NJ
Enumeration date
06/10/2008
Last updated
03/13/2009
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