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Contact Information

STEFAN H FADERL, MD
92 SECOND ST.
HACKENSACK, NJ07601
 Phone: 551-996-3925
 Fax: 551-996-0574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEFAN H FADERL · (Male)

NPI Number 1689770844
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 11/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA09307400
  • TX License # K7015
  • TX Medicaid 043181901
  • TX Other 84682X BCBS
  • TX Other 900002759 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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