Individual
LAUREN THERESA FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 ELMORA AVE, ELIZABETH, NJ 07208-1576
(908) 659-9200
Mailing address
6 ASPEN CT, HAMILTON, NJ 08619-4601
(732) 771-6777
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01066200
NJ
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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