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NPI Code Detail

MEDICARE: DR. MICHAEL FAUST M.D.

MEDICARE: DR. MICHAEL FAUST M.D.
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
1174400000XSpecialist25MA05023100NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P404874OTHERNJOXFORD ID #
214E493OTHERNJEMPIRE BC/BS (RAMSEY)
314E492OTHERNJEMPIRE BC/BS (MIDLAND PK)
40K5801OTHERNJHEALTHNET ID #
54201262OTHERNJAETNA PPO ID #
6160046094OTHERNJRAILROAD MDCR #

General Provider Information

NPI Number : 1962406595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL FAUST M.D.
Provider Business Mailing Address
First Line : 581 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1139
Country : US
Telephone Number : 201-236-2100
Fax Number : 201-236-5269
Provider Business Practice Location Address
First Line : 581 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1139
Country : US
Telephone Number : 201-236-2100
Fax Number : 201-236-5269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/08/2009

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