Individual
FAY O BIZUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 SCHANCK RD, SUITE 104, FREEHOLD, NJ 07728-3068
(732) 431-1332
(732) 776-6601
Mailing address
2102 CORLIES AVE, NEPTUNE, NJ 07753-6141
(732) 776-8535
(732) 776-6601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00079000
NJ
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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