| Flj & M Medical Professional Corporation | |
|
115 River Rd Ste 305 Edgewater NJ 07020-1009 | |
| (201) 941-4405 | |
| (201) 941-4408 |
| Full Name | Flj & M Medical Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 115 River Rd Ste 305, Edgewater, New Jersey |
| Authorized Official Name and Position | Frank Santos (PRESIDENT) |
| Authorized Official Contact | 2019414405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flj & M Medical Professional Corporation 353 East Harriet Avenue Palisades Park NJ 07650 Ph: (201) 941-4405 | Flj & M Medical Professional Corporation 115 River Rd Ste 305 Edgewater NJ 07020-1009 Ph: (201) 941-4405 |
| NPI Number | 1336473941 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 07/22/2010 |
| Medicare PECOS PAC ID | 6204973076 |
|---|---|
| Medicare Enrollment ID | O20091027000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336473941 | NPI | - | NPPES |
| 180274P4P | Other | MEDICARE ID-TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Frank Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811941651 PECOS PAC ID: 6800933052 Enrollment ID: I20091021000439 |
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