MEDICARE: ALBERT ADES, MD, MS, PA

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	174400000X	Specialist

General Provider Information

NPI Number	:	1447560867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT ADES, MD, MS, PA

Provider Business Mailing Address
First Line	:	200 E MAIN ST
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-1705
Country	:	US
Telephone Number	:	973-785-0222
Fax Number	:	973-785-8963

Provider Business Practice Location Address
First Line	:	200 E MAIN ST
Second Line	:
City	:	LITTLE FALLS
State	:	NJ
Zip	:	07424-1705
Country	:	US
Telephone Number	:	973-785-0222
Fax Number	:	973-785-8963

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALBERT ADES
Credential	:	MD
Telephone Number	:	201-567-9766

Provider Enumeration Date	:	10/19/2010
Last Update Date	:	10/19/2010

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