Mitchell Josef Faktor
Facial Plastic Surgeon
2528 River Rd
Manasquan
, New Jersey 08736-2130
Mitchell Josef Faktor
Facial Plastic Surgeon
2528 River Rd
Manasquan
, New Jersey 08736-2130
(732) 223-7444
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Mitchell Josef Faktor
- 2528 River Rd
- Manasquan, NJ
- Zip : 08736-2130
- Fax : (732) 223-7444
- Phone : (732) 223-7444
Second Address
- Mitchell Josef Faktor
- 2528 River Rd
- Manasquan, NJ
- Zip : 08736-2130
- Phone : (732) 223-7444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 25MB06119300 | NJ |
National Provider Identifier
| NPI | 1013209626 |
|---|---|
| Provider Name | Mitchell Josef Faktor |
| First Address | Manasquan, NJ 08736-2130 |
| Second Address | Manasquan, NJ 08736-2130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2011 |
| Last Update Date | 15/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.