Facciani, Dara Blum

Facciani, Dara Blum is an individual health care provider with primary practice located at 741 Northfield Ave , West Orange NJ 07052-1174. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Facciani, Dara Blum can be contacted via phone (973) 736-9980.

Contact Information

Primary practice address
741 Northfield Ave West Orange NJ 07052-1174
Phone: (973) 736-9980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 25MT00109600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00403400 New Jersey

Profile Details

NPI number 1245352707
LBN Legal business name Facciani, Dara Blum
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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