| Doctor Name: | CRIS RAMALHO FABOS |
| NPI Number: | 1518349976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 26NJ00555600 |
| Business Practice Address: | 96 Parkway Rochelle Park, NJ - 076624200 |
| Business Phone Number: | 9739799222 |
| Business Fax Number: | 2018458826 |
| Mailing Address: | 96 Parkway, ROCHELLE PARK |
| State: | NJ |
| Postal Code: | 076624200 |
| Phone Number: | 9739799222 |
| Fax Number: | 2018458826 |
| NPI Enumeration Date: | 06/22/2015 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00555600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |