Individual
ALLISON L FACHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
25MA064798
NJ
Other
Enumeration date
08/28/2008
Last updated
06/27/2012
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