Organization
GARY J FADEN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J. FADEN DPM (OWNER)
(732) 458-8383
Entity
Organization
Contact information
Practice address
216 JACK MARTIN BLVD, SUITE D4, BRICK, NJ 08724-7771
(732) 458-8383
(732) 458-8965
Mailing address
216 JACK MARTIN BLVD, SUITE D4, BRICK, NJ 08724-7771
(732) 458-8383
(732) 458-8965
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00114700
NJ
Other
Enumeration date
12/14/2007
Last updated
06/27/2013
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