Adam N Fano
Student in an Organized Health Care Education/Training Program in Newark, NJ. Individual provider (NPI-1).
NPI number1033859459
StatusActive
Last updated in NPPESApr 1, 2022
Details
- NPI
- 1033859459
- Entity type
- Individual (NPI-1)
- Name
- Adam N Fano
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2022
- Certification date
- Apr 1, 2022
- Last updated
- Apr 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
185 S Orange AveNewark, NJ 07103-2757
Phone 973-580-1948
Mailing address
6 Nathan DrTowaco, NJ 07082-1452
Phone 973-580-1948
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