NPI 1104435098
Fase Health Care
Practice location
- Address
- 27 Lark Dr, South River, NJ 08882-2605
- Phone
- (917) 449-8183
Authorised official
- Name
- Frank Igiebor
- Title
- Owner
- Phone
- (917) 449-8183
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1104435098
- Entity type
- Organization
- NPI issued
- 27 Jul 2020
- Record last updated
- 19 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.