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Individual

DR. MICHAEL FAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
581 N FRANKLIN TPKE, RAMSEY, NJ 07446-1139
(201) 236-2100
(201) 236-5269
Mailing address
581 N FRANKLIN TPKE, RAMSEY, NJ 07446-1139
(201) 236-2100
(201) 236-5269

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05023100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0K5801
HEALTHNET ID #
NJ
01
14E492
EMPIRE BC/BS (MIDLAND PK)
NJ
01
14E493
EMPIRE BC/BS (RAMSEY)
NJ
01
160046094
RAILROAD MDCR #
NJ
01
4201262
AETNA PPO ID #
NJ
01
P404874
OXFORD ID #
NJ
Enumeration date
06/10/2005
Last updated
04/08/2009
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