Individual
BRIAN MARC FARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753
(848) 332-2659
Mailing address
204 TRACY DR, MORGANVILLE, NJ 07751-1670
(732) 586-3542
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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