Individual
DR. LOUIS G. FARES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CAPITAL WAY, WOUND CARE CENTER, PENNINGTON, NJ 08534-2520
(609) 537-7457
(609) 537-7189
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 537-7457
(609) 537-7189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA039515
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980581002
CIGNA
NJ
05
—
1828703
—
NJ
01
—
33697
AETNA
NJ
Enumeration date
05/26/2006
Last updated
12/29/2022
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