Individual
MRS. EHSAN FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
785 W SHERMAN AVE, VINELAND, NJ 08360-6913
(856) 451-4700
Mailing address
785 W SHERMAN AVE, VINELAND, NJ 08360-6913
(908) 848-3860
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15466200
NJ
Other
Enumeration date
09/10/2025
Last updated
11/17/2025
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