Individual
ADAM N FANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 580-1948
Mailing address
6 NATHAN DR, TOWACO, NJ 07082-1452
(973) 580-1948
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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