MEDICARE: FREDDY ALMANZAR

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	2278G1100X	General Care Certified Respiratory Therapist	43ZA00300300	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1467460543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDDY ALMANZAR

Provider Business Mailing Address
First Line	:	81-83 MANCHESTER AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07502-1903
Country	:	US
Telephone Number	:	973-942-9248
Fax Number	:	973-790-0599

Provider Business Practice Location Address
First Line	:	81-83 MANCHESTER AVE
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07502-1903
Country	:	US
Telephone Number	:	973-942-9248
Fax Number	:	973-790-0599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	04/03/2008

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Directions to “ FREDDY ALMANZAR ” Practice Location

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