Provider Demographics
NPI:1497710974
Name:FLORES, EDUARDO G (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:G
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-631-6899
Mailing Address - Fax:609-631-6898
Practice Address - Street 1:1230 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3814
Practice Address - Country:US
Practice Address - Phone:609-581-9950
Practice Address - Fax:609-581-9957
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03564700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K2500OtherHEALTHNET
1767997OtherCIGNA HEALTHCARE
NJ811E61OtherWELLCHOICE
P3652922OtherOXFORD HEALHPLAN
NJ14855OtherUNIVERSITY HEALTHPLANS
NJ3634400Medicaid
NJ0796288000OtherAMERIHEALTH
4096228OtherAETNA USHC
NJ3634400Medicaid
NJ402854Medicare ID - Type UnspecifiedMEDICARE