Individual
ROBERT DAVID FECHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 BERGEN ST, DOC 6100, NEWARK, NJ 07103-2425
(973) 972-2065
(973) 972-1244
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06732900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7601107
—
NJ
Enumeration date
07/10/2006
Last updated
07/23/2009
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