Individual
DR. MARK D FANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1135 CLIFTON AVE, SUITE 208, CLIFTON, NJ 07013-3642
(973) 928-3575
(973) 928-3574
Mailing address
1135 CLIFTON AVE, SUITE 208, CLIFTON, NJ 07013-3642
(973) 928-3575
(973) 928-3574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00430500
NJ
Other
Enumeration date
06/10/2009
Last updated
03/21/2016
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