Organization
FASE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK IGIEBOR (OWNER)
(917) 449-8183
Entity
Organization
Contact information
Practice address
27 LARK DR, SOUTH RIVER, NJ 08882-2605
(917) 449-8183
Mailing address
27 LARK DR, SOUTH RIVER, NJ 08882-2605
(917) 449-8183
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
08/19/2022
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