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Specialty details in registry · Fanwood, NJ
At a glance
193 Terrill Rd Ste 1, Fanwood, NJ 07023-1058
NPPES record updated Mar 24, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
193 Terrill Rd Ste 1Fanwood, NJ 07023-1058
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Mar 31, 2017
- Record updated
- Mar 24, 2023
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
193 Terrill Rd Ste 1Fanwood, NJ 07023-1058
- Phone
- (908) 354-3040
Mailing address
80 W GRAND STELIZABETH, NJ 072021471
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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