Individual
DR. GRETCHEN B. FAHRENBRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
54 MONTGOMERY ST, PRINCETON JCT, NJ 08550-1335
(609) 799-1814
(609) 799-2574
Mailing address
54 MONTGOMERY ST, PRINCETON JCT, NJ 08550-1335
(609) 799-1814
(609) 799-2574
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MA52823
NJ
208600000X
Surgery Physician
25MA05282300
NJ
Other
Enumeration date
05/21/2007
Last updated
07/19/2010
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