Individual
DR. NATHAN FAIRBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2950 COLLEGE DR STE 2D, VINELAND, NJ 08360-6933
(856) 641-6313
(856) 497-5350
Mailing address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB11909100
NJ
Other
Enumeration date
05/13/2019
Last updated
08/07/2023
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