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Contact Information

GIL V FAJARDO, MD
333 60TH ST
WEST NEW YORK, NJ07093
 Phone: 201-453-8777
 Fax: 201-453-8804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GIL V FAJARDO · (Male)

NPI Number 1336226463
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA62055
  • NJ Medicaid 7003803
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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