DR. Severiano Fajardo Sanjuan JR., M.D.

NPI #1891701595 in Maplewood, New Jersey

Provider Information

NPI Number: 1891701595
Entity Type: Individual
Name: DR. Severiano Fajardo Sanjuan JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Aug 1, 2006
Last Updated: Dec 12, 2014

Practice Location

Address: 2040 MILLBURN AVE
Address 2: SUITE 302
City: Maplewood
State: New Jersey
ZIP Code: 07040-3726
Phone: (973) 762-0035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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