Individual
DR. ADRIANA DANIELLE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2200
(201) 489-2812
Mailing address
130 KINDERKAMACK RD, SUITE 200, RIVER EDGE, NJ 07661-1939
(201) 488-2660
(201) 489-2812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09908300
NJ
2085R0202X
Diagnostic Radiology Physician
A119581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500038
—
NJ
Enumeration date
06/28/2010
Last updated
07/29/2016
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