Individual
ADILA ASIM FAKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2750
(973) 731-9442
Mailing address
74 SHUNPIKE RD, MADISON, NJ 07940-2720
(973) 998-5284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
03/17/2018
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