| Allison L Faches Md Pa | |
|
1 Ethel Rd Suite 107b Edison NJ 08817-2838 | |
| (732) 452-0057 | |
| (732) 287-2071 |
| Full Name | Allison L Faches Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Ethel Rd, Edison, New Jersey |
| Authorized Official Name and Position | Allison L Faches (PRESIDENT ALLISON L FACHES MD PA) |
| Authorized Official Contact | 7324520057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison L Faches Md Pa 1 Ethel Rd Suite 107b Edison NJ 08817-2838 Ph: (732) 452-0057 | Allison L Faches Md Pa 1 Ethel Rd Suite 107b Edison NJ 08817-2838 Ph: (732) 452-0057 |
| NPI Number | 1245206531 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 06/27/2012 |
| Medicare PECOS PAC ID | 0345228326 |
|---|---|
| Medicare Enrollment ID | O20040708000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245206531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Allison L Faches |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336397785 PECOS PAC ID: 6103812540 Enrollment ID: I20040422000034 |
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