| Ashraf Faltas | |
|
596 Anderson Ave Suite 201 Cliffside Park NJ 07010-1831 | |
| (201) 313-3222 | |
| (201) 313-3220 |
| Full Name | Ashraf Faltas |
|---|---|
| Speciality | Internal Medicine |
| Location | 596 Anderson Ave, Cliffside Park, New Jersey |
| Authorized Official Name and Position | Ashraf Faltas (MD) |
| Authorized Official Contact | 2013133222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashraf Faltas 596 Anderson Ave Suite 201 Cliffside Park NJ 07010-1831 Ph: (201) 313-3222 | Ashraf Faltas 596 Anderson Ave Suite 201 Cliffside Park NJ 07010-1831 Ph: (201) 313-3222 |
| NPI Number | 1962690875 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Medicare PECOS PAC ID | 7719901289 |
|---|---|
| Medicare Enrollment ID | O20060124000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962690875 | NPI | - | NPPES |
| 8672008 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA073154 (New Jersey) | Primary |
| Provider Name | Ashraf Faltas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275635070 PECOS PAC ID: 5698797595 Enrollment ID: I20051221000326 |
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