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Specialty details in registry · Fairfield, NJ

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At a glance

19 Gloria Ln, Fairfield, NJ 07004-3305

NPPES record updated Jun 4, 2024. Public records can lag behind changes at a practice.

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  • 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

19 Gloria Ln
Fairfield, NJ 07004-3305
Professional details: NPI, taxonomy & registry record
NPI1306612221
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
373H00000X
Enumeration date
Dec 1, 2023
Record updated
Jun 4, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

373H00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

19 Gloria Ln
Fairfield, NJ 07004-3305
Phone
(973) 521-5757
Mailing address
20 JUST RD

FAIRFIELD, NJ 070043421
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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