Fajardo, Ileana

Fajardo, Ileana is an individual health care provider with primary practice located at 415 Avenel St , Avenel NJ 07001-1147. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fajardo, Ileana can be contacted via phone (732) 693-6788.

Contact Information

Primary practice address
415 Avenel St Avenel NJ 07001-1147
Phone: (732) 693-6788
Fax: (732) 636-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40QA01384600 New Jersey

Profile Details

NPI number 1194004275
LBN Legal business name Fajardo, Ileana
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated Aug 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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