Individual
DR. JANET MARIE FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28 PROSPECT AVE, HAWORTH, NJ 07641-1444
(201) 384-2242
(201) 385-9864
Mailing address
65 N MAPLE AVE STE 302, RIDGEWOOD, NJ 07450-3233
(201) 384-2242
(201) 385-9864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05059300
NJ
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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