Faden, Gary J.
Faden, Gary J. is an sole proprietor health care provider with primary practice located at 216 Jack Martin Blvd Suite D-4, Brick NJ 08724-7771. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Faden, Gary J. can be contacted via phone (732) 458-8383.Contact Information
Primary practice address
216 Jack Martin Blvd Suite D-4
Brick NJ 08724-7771
Phone: (732) 458-8383
Fax: (732) 458-8965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 25MD00114700 | New Jersey |
Profile Details
| NPI number | 1295745263 |
|---|---|
| LBN Legal business name | Faden, Gary J. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Nov 26th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295745263 | NPPES |
| New Jersey | Other | 205671 | UNIFORMED SERVICES |
| New Jersey | Other | 222332380 | UNIFORMED SERVICES |
| New Jersey | Other | P404738 | UNIFORMED SERVICES |
| New Jersey | MEDICAID | 3011402 | UNIFORMED SERVICES |
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