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1477151850
LAUREN THERESA FAHY
ELIZABETH, NJ
NPI
1477151850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NJ 26NJ01066200)
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
LAUREN THERESA FAHY
435 ELMORA AVE
ELIZABETH, NJ 07208-1576
Phone number: 908-659-9200
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Mailing Address
LAUREN THERESA FAHY
6 ASPEN CT
HAMILTON, NJ 08619-4601
Phone number: 732-771-6777
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