Individual
DR. MARY MAGNUSEN FAHSBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5678 BERKSHIRE VALLEY RD, OAK RIDGE, NJ 07438-9370
(973) 697-0200
(973) 383-0448
Mailing address
5678 BERKSHIRE VALLEY RD, OAK RIDGE, NJ 07438-9370
(973) 697-0200
(973) 383-0448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB56521
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4583400
—
NJ
Enumeration date
03/16/2006
Last updated
03/22/2010
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