Healthcare Provider Details
I. General information
NPI: 1821690116
Provider Name (Legal Business Name): FMA ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2020
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 GLADES RD
BOCA RATON FL
33432-1419
US
IV. Provider business mailing address
25 COMMERCE DR STE 250
CRANFORD NJ
07016-3621
US
V. Phone/Fax
- Phone: 561-362-4400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
ASTROVE
Title or Position: OWNER
Credential: MD
Phone: 908-653-9399