Individual
DR. VICTOR FANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2182 MORRIS AVE, UNION, NJ 07083-5902
(908) 851-2666
(908) 851-2299
Mailing address
2182 MORRIS AVENUE, UNION, NJ 07083-9430
(908) 851-2666
(908) 851-2299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00493100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003115M3N
PROVIDER ID
NJ
Enumeration date
11/05/2006
Last updated
09/17/2007
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