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NPI Code Detail

MEDICARE: CARLOS FRIAS M.D.

MEDICARE: CARLOS FRIAS M.D.
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
1174400000XSpecialistMA 59100NJ
2207L00000XAnesthesiology Physician25MA05910000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235132440
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS FRIAS M.D.
Provider Business Mailing Address
First Line : 525 UNION BLVD
Second Line :
City : TOTOWA
State : NJ
Zip : 07512-2442
Country : US
Telephone Number : 973-928-5360
Fax Number :
Provider Business Practice Location Address
First Line : 350 BOULEVARD
Second Line :
City : PASSAIC
State : NJ
Zip : 07055-2840
Country : US
Telephone Number : 973-365-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/22/2023

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