Provider Demographics
NPI:1376515346
Name:ALMAZAN-CONDIT, FE L (MD)
Entity Type:Individual
Prefix:MRS
First Name:FE
Middle Name:L
Last Name:ALMAZAN-CONDIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08754-0289
Mailing Address - Country:US
Mailing Address - Phone:732-240-4545
Mailing Address - Fax:732-505-3257
Practice Address - Street 1:601 RT 37 W
Practice Address - Street 2:SUITE 101
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-240-4545
Practice Address - Fax:732-505-3257
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03078600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2817218OtherOXFORD
NJ2420406Medicaid
D96865Medicare UPIN
NJ2420406Medicaid