Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSE R FRAGOSO, MD
Active Sole ProprietorDR. JOSE R FRAGOSO, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in UNION CITY, New Jersey. NPI 1164497624 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · UNION CITY, NJ
Registration Details
- NPI Number
- 1164497624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2006 (20.51899560242 yrs)
- Last Updated
- Feb 4, 2021
- License
-
25MA04358900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4808 BERGENLINE AVE5TH FLOORUNION CITY, NJ, 070875172Browse NJ providers · Browse ZIP 07087
- Phone
- 2018653444
- Fax
- 2018650038
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.