MEDICARE: JANINE FABRIZIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	44SL05941100	NJ

General Provider Information

NPI Number	:	1295158343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE FABRIZIO

Provider Business Mailing Address
First Line	:	50 RIVER DR
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-7029
Country	:	US
Telephone Number	:	609-805-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 MAIN ST BLDG C
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-7402
Country	:	US
Telephone Number	:	609-805-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2014
Last Update Date	:	04/26/2022

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Directions to “ JANINE FABRIZIO ” Practice Location

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