Individual
STEFAN H. FADERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 SECOND ST., HACKENSACK, NJ 07601
(551) 996-3925
(551) 996-0574
Mailing address
100 FIRST ST., SUITE 301, HACKENSACK, NJ 07601
(551) 996-3925
(551) 996-0574
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA09307400
NJ
207RX0202X
Medical Oncology Physician
K7015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043181901
—
TX
01
—
84682X
BCBS
TX
01
—
900002759
RR MEDICARE
TX
Enumeration date
09/15/2006
Last updated
11/21/2013
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