Individual
MR. RANDALL BARRY FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2950 COLLEGE DR STE 1A, VINELAND, NJ 08360-6933
(856) 507-0600
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00283700
NJ
Other
Enumeration date
12/27/2011
Last updated
05/02/2024
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