| Organization Name: | NJR HEALTHCARE PC |
| NPI Number: | 1134399447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN H FAUSTINO (DOCTOR) |
| Mailing Address: | 1616 Pacific Ave Suite 212 Atlantic City |
| State: | NJ US |
| Postal Code: | 084016939 |
| Phone Number: | 6094987220 |
| Fax Number: | 1855271739 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 06/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA07168000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |