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NPI Code Detail

MEDICARE: DR. FATEN FARID MORKOS M.D.

MEDICARE: DR. FATEN FARID MORKOS 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
1208000000XPediatrics Physician25MA08120700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
219727784113OTHERNJ1150 SPRINGFIELD AVENUE
31235300799OTHERNJ37 N DAY
41932370483OTHERNJ101 LUDLOW
51194996645OTHERNJ444 WILLIAM STREET
61740345693OTHERNJ741 BROADWAY

General Provider Information

NPI Number : 1578578993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FATEN FARID MORKOS M.D.
Provider Business Mailing Address
First Line : 319 WASHINGTON AVE
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-1935
Country : US
Telephone Number : 973-661-5170
Fax Number :
Provider Business Practice Location Address
First Line : 741 BROADWAY
Second Line :
City : NEWARK
State : NJ
Zip : 07104-4309
Country : US
Telephone Number : 973-483-1300
Fax Number : 973-483-3787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 06/06/2008

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