Individual
DR. ALAN HERBERT FAUSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 PACIFIC AVE, SUITE 212, ATLANTIC CITY, NJ 08401-6939
(609) 498-7220
(185) 527-1739
Mailing address
1616 PACIFIC AVE, SUITE 212, ATLANTIC CITY, NJ 08401-6939
(609) 498-7220
(185) 527-1739
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA07168000
NJ
Other
Enumeration date
08/09/2006
Last updated
06/27/2011
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