Organization
FARESICH PARTNER PROCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA K FARESICH APNC (MANAGING MEMBER)
(973) 219-7800
Entity
Organization
Contact information
Practice address
311 SOUTH LIVINGSTON AVENUE, INGLEMOOR REHABILITATION AND CARE CENTER, LIVINGSTON, NJ 07039
(973) 994-0221
Mailing address
4 MEADOW LARK CT, RANDOLPH, NJ 07869-2128
(973) 361-8113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN08294900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007595
—
NJ
Enumeration date
11/14/2008
Last updated
04/16/2009
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