Individual
JASON SEAN FAHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2500 MORRIS AVE STE 200, UNION, NJ 07083-5600
(908) 688-8628
(908) 688-8696
Mailing address
2500 MORRIS AVE STE 200, UNION, NJ 07083-5600
(908) 688-8628
(908) 688-8696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QAOO8393
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2277478
UNITED HEALTHCARE
NJ
01
—
7373094
AETNA
NJ
01
—
835723
ACN GROUP
NJ
Enumeration date
01/31/2007
Last updated
02/17/2014
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