Basic Information
| Provider Information | |||||||||
| NPI: | 1982845426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FECHNER | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | JEFFREY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 181 LONG HILL RD | ||||||||
| Address2: | APT D-1 | ||||||||
| City: | LITTLE FALLS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074242050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732000447 | ||||||||
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| Practice Location | |||||||||
| Address1: | 185 S ORANGE AVE | ||||||||
| Address2: | MSB E506 | ||||||||
| City: | NEWARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071032757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739725266 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2009 | ||||||||
| LastUpdateDate: | 03/12/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 25MA08290800 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.