Provider Demographics
NPI:1043594344
Name:FOJAS, MA. CONCHITINA MANAS (MD)
Entity type:Individual
Prefix:DR
First Name:MA. CONCHITINA
Middle Name:MANAS
Last Name:FOJAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA CONCHITINA
Other - Middle Name:MANAS
Other - Last Name:FOJAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:229 ENGLE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2409
Mailing Address - Country:US
Mailing Address - Phone:201-567-8999
Mailing Address - Fax:
Practice Address - Street 1:229 ENGLE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-567-5385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09872100207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism