Individual
HELEN FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
70 HATFIELD LN, GOSHEN, NY 10924-6734
(845) 291-3656
Mailing address
138 MATTISON RD, BRANCHVILLE, NJ 07826-4006
(973) 600-4106
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
031542
NY
363AS0400X
Surgical Physician Assistant
25MP00528300
NJ
Other
Enumeration date
07/30/2019
Last updated
04/25/2024
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