Kenneth Faistl, Md,pa
NPI #1942277223 in Freehold, New Jersey
Provider Information
- NPI Number
- 1942277223
- Entity Type
- Organization
- Organization Name
- Kenneth Faistl, Md,pa
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 4, 2006
- Last Updated
- May 20, 2008
Practice Location
- Address
- 17 BROAD ST
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-1703
- Phone
- (732) 462-9622
Authorized Official
- Name
- DR. KENNETH W FAISTL, MD
- Title
- OWNER
- Phone
- (732) 462-9622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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