Individual
ALLISON FAYANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
Mailing address
255 SUNNYSIDE RD, OCEANSIDE, NY 11572-3342
(516) 650-5265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021852
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00800800
NJ
Other
Enumeration date
02/19/2018
Last updated
11/28/2023
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