Individual
SANDRA FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2433 COUNTY HIGHWAY 516, SUITE 3B, OLD BRIDGE, NJ 08857
(732) 360-0287
(732) 360-1279
Mailing address
PO BOX 48270, NEWARK, NJ 07101-4800
(201) 818-9118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07898500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454681
AETNA HMO #
NJ
01
—
2835304000
AMERIHEALTH #
NJ
01
—
3K5104
HEALTHNET #
NJ
01
—
6D0891
EMPIRE BCBS #
NJ
01
—
7314878
AETNA PPO #
NJ
01
—
P00381706
RR MDCR #
NJ
01
—
P3720931
OXFORD #
NJ
Enumeration date
10/06/2006
Last updated
04/16/2008
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