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Individual

DR. ANN LEILANI FAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-3114
(856) 541-5379
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MA62096
NJ
208200000X
Plastic Surgery Physician
MD069186L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0658970000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
1098414
HORIZON NJ HEALTH
NJ
01
1944936
UNITED HEALTHCARE
NJ
01
2042706
CIGNA
NJ
01
2230968
AETNA
NJ
01
240006442
RR MEDICARE
NJ
01
24357
UNIVERISTY HEALTH PLAN
NJ
01
3K6089
HEALTHNET
NJ
01
438669
AP BS HIGHMARK
NJ
01
8025304
NY MEDICAID
NY
05
8025304
NJ
01
CA0000364 01
AMERICHOICE
NJ
01
P1911543
OXFORD
NJ
Enumeration date
10/02/2006
Last updated
04/25/2016
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