Healthcare Provider Details

I. General information

NPI: 1679524235
Provider Name (Legal Business Name): FAUSTO J RAMOS D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 AMBOY AVE
PERTH AMBOY NJ
08861-3145
US

IV. Provider business mailing address

609 AMBOY AVE
PERTH AMBOY NJ
08861-2577
US

V. Phone/Fax

Practice location:
  • Phone: 732-442-6444
  • Fax: 732-442-6449
Mailing address:
  • Phone: 732-442-6444
  • Fax: 732-442-6449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00287000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: