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NPI Code Detail

MEDICARE: FRANY MERCEDES RUIZ MA NAVAGATOR

MEDICARE:   FRANY  MERCEDES RUIZ  MA NAVAGATOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1073220489
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANY MERCEDES RUIZ MA NAVAGATOR
Provider Business Mailing Address
First Line : 796 MOUNT PROSPECT AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-3223
Country : US
Telephone Number : 973-481-0501
Fax Number : 973-732-1031
Provider Business Practice Location Address
First Line : 796 MOUNT PROSPECT AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-3223
Country : US
Telephone Number : 973-481-0501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2022
Last Update Date : 06/02/2026

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Directions to “ FRANY MERCEDES RUIZ MA NAVAGATOR” Practice Location

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