Individual
CANDIDA M FABIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 HADDON AVE, ICN, CAMDEN, NJ 08103-3101
(856) 757-3988
Mailing address
500 GROVE ST, SUITE 100, HADDON HEIGHTS, NJ 08035-1702
(856) 796-9200
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA03835700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200309
—
NJ
Enumeration date
01/09/2006
Last updated
06/30/2012
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