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Individual

JUSTIN B. FADEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
2250 CHAPEL AVE W, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Mailing address
2250 CHAPEL AVE W, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MB08863700
NJ
2084P0800X
Psychiatry Physician
Primary
OS018244
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0294420
NJ
Enumeration date
12/01/2008
Last updated
09/02/2022
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