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Dr. Ileana Fajardo, DPT
Specialist in Avenel, New Jersey
NPI 1194004275

Ileana Fajardo is a Specialist based in Avenel, NJ. Ileana Fajardo practices in Avenel, NJ and has the professional credentials of DPT. The NPI Number for Ileana Fajardo is 1194004275 and holds a License No. 40QA01384600 (New Jersey).

The current practice location address for Ileana Fajardo is 415 Avenel St, Avenel, NJ and can be reached out via phone at 732-693-6788 and via fax at 732-636-7887.

Location: 415 Avenel St, Avenel, NJ, 07001-1147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194004275
Provider Name
Ileana Fajardo
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
415 Avenel St, Avenel, NJ, 07001-1147
Phone Number
732-693-6788
Fax Number
732-636-7887
Provider Enumeration Date
08/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 Avenel St
City
Avenel
State
New Jersey
Zip
07001-1147
Phone Number
732-693-6788
Fax Number
732-636-7887
person
Provider Business Mailing Address Details
Address
415 Avenel St
City
Avenel
State
New Jersey
Zip
07001-1147
Phone Number
732-693-6788
Fax Number
732-636-7887
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
40QA01384600 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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