Faderl, Stefan H.

Faderl, Stefan H. is an individual health care provider with primary practice located at 92 Second St. , Hackensack NJ 07601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Faderl, Stefan H. can be contacted via phone (551) 996-3925.

Contact Information

Primary practice address
92 Second St. Hackensack NJ 07601
Fax: (551) 996-0574
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X K7015 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MA09307400 New Jersey

Profile Details

NPI number 1689770844
LBN Legal business name Faderl, Stefan H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Nov 21st, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689770844 NPPES
Texas MEDICAID 043181901
Texas Other 900002759
Texas Other 84682X

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