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Contact Information

NICOLE A ANDERSON, MD
70 EAST ALLENDALE ROAD
THE FUNCTIONAL MEDICINE CENTER OF NEW JERSEY
SADDLE RIVER, NJ07458
 Phone: 833-362-6365
 Fax: 201-661-8626
 Website: https://fmcofnj.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NICOLE A ANDERSON · (Female)

NPI Number 1497833164
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 04/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A92632
  • CA Medicaid 00A926320
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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