Fahsbender, Mary Magnusen

Fahsbender, Mary Magnusen is an individual health care provider with primary practice located at 5678 Berkshire Valley Rd , Oak Ridge NJ 07438-9370. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fahsbender, Mary Magnusen can be contacted via phone (973) 697-0200.

Contact Information

Primary practice address
5678 Berkshire Valley Rd Oak Ridge NJ 07438-9370
Phone: (973) 697-0200
Fax: (973) 383-0448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB56521 New Jersey

Profile Details

NPI number 1659340255
LBN Legal business name Fahsbender, Mary Magnusen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 22nd, 2010 - about 14 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 1659340255 NPPES
New Jersey MEDICAID 4583400

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