Individual
MR. DANIEL FAYAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
333 LAWRENCE AVE, LAKEWOOD, NJ 08701-1988
(732) 814-1500
(732) 905-9110
Mailing address
333 LAWRENCE AVE, LAKEWOOD, NJ 08701-1988
(732) 814-1500
(732) 905-9110
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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