Organization
NJR HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN H FAUSTINO (DOCTOR)
(609) 335-3072
Entity
Organization
Contact information
Practice address
1616 PACIFIC AVE, SUITE 212, ATLANTIC CITY, NJ 08401-6939
(609) 498-7220
(185) 527-1739
Mailing address
1616 PACIFIC AVE, SUITE 212, ATLANTIC CITY, NJ 08401-6939
(609) 498-7220
(185) 527-1739
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA07168000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111031
—
NJ
Enumeration date
03/04/2008
Last updated
06/27/2011
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