Individual
FAZIA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2956
(973) 720-2632
Mailing address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00313200
NJ
Other
Enumeration date
01/11/2011
Last updated
09/08/2016
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