Individual
FREDERICK BANERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 WESCOTT DR, SUITE G3, FLEMINGTON, NJ 08822-4600
(908) 788-1710
(908) 788-1716
Mailing address
1100 WESCOTT DR, SUITE G3, FLEMINGTON, NJ 08822-4600
(908) 788-1710
(908) 788-1616
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00070600
NJ
Other
Enumeration date
01/09/2006
Last updated
11/19/2020
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