| Doctor Name: | DR. ALAN HERBERT FAUSTINO |
| NPI Number: | 1669482568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MA07168000 |
| Business Practice Address: | 1616 Pacific Ave Suite 212 Atlantic City, NJ - 084016939 |
| Business Phone Number: | 6094987220 |
| Business Fax Number: | 1855271739 |
| Mailing Address: | 1616 Pacific Ave, Suite 212 ATLANTIC CITY |
| State: | NJ |
| Postal Code: | 084016939 |
| Phone Number: | 6094987220 |
| Fax Number: | 1855271739 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 06/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MA07168000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |