Individual
FAWAZ KASHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 SPRINGHOUSE RD, OCEAN, NJ 07712-3727
(732) 922-4763
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA06203200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401906
—
NJ
Enumeration date
05/09/2007
Last updated
05/14/2008
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