Individual
DR. JOHN BRADLEY FECHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
27 CLYDE RD STE 102, SOMERSET, NJ 08873
(908) 418-1382
Mailing address
260 E BROAD ST APT 8, WESTFIELD, NJ 07090-5100
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35S100594200
NJ
Other
Enumeration date
06/07/2018
Last updated
06/21/2018
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