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Contact Information

PERIPHON D FAUSTINO, PT
375 MCCARTER HWY
NEWARK, NJ07114
 Phone: 973-643-8601
 Fax: 973-643-8609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PERIPHON D FAUSTINO · (Male)

NPI Number 1083732796
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 03/27/2007
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PT6503
  • NJ License # 40QA00810200
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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