MEDICARE: FRAGILE HEART HEALTH CONSULTING SERVICES LLC

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1972458438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRAGILE HEART HEALTH CONSULTING SERVICES LLC

Provider Business Mailing Address
First Line	:	1505 ESSEX AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-1921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 ESSEX AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-1921
Country	:	US
Telephone Number	:	908-333-8494
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LUCY EFOBI
Credential	:
Telephone Number	:	908-333-8494

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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