Individual
DR. SCHUBER C FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 MAPLE AVE, SUITE 1A, RED BANK, NJ 07701-1734
(732) 741-1378
(732) 741-1677
Mailing address
130 MAPLE AVE, SUITE 1A, RED BANK, NJ 07701-1734
(732) 741-1378
(732) 741-1677
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA27734
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004256293
AETNA
NJ
01
—
0619012543
HORIZON
NJ
05
—
1003402
—
NJ
Enumeration date
02/22/2006
Last updated
07/12/2007
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