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Organization

ALLISON L FACHES MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLISON L FACHES MD (PRESIDENT ALLISON L FACHES MD PA)
(732) 452-0057
Entity
Organization

Contact information

Practice address
1 ETHEL RD, SUITE 107B, EDISON, NJ 08817-2838
(732) 452-0057
(732) 287-2071
Mailing address
1 ETHEL RD, SUITE 107B, EDISON, NJ 08817-2838
(732) 452-0057
(732) 287-2071

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/27/2006
Last updated
06/27/2012
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