Organization
FARES SURGICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS G FARES II MD (PRESIDENT)
(609) 585-1400
Entity
Organization
Contact information
Practice address
1345 KUSER RD, SUITE 1, TRENTON, NJ 08619-3823
(609) 585-1400
(609) 585-2988
Mailing address
1345 KUSER RD, SUITE 1, TRENTON, NJ 08619-3823
(609) 585-1400
(609) 585-2988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073417001
AMERIHEALTH GROUP NUMBER
NJ
Enumeration date
05/26/2006
Last updated
04/20/2008
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