DR. GRETCHEN B. FAHRENBRUCH


Address: 54 Montgomery St, Princeton Jct, NJ 08550-1335
Phone: 6097991814

DR. GRETCHEN B. FAHRENBRUCH (NPI# 1396954145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396954145
Entity Type Individual
Full Name DR. GRETCHEN B. FAHRENBRUCH
Credential M.D.
Practice Address 54 Montgomery St
Princeton Jct
NJ 08550-1335
Practice Telephone 6097991814
Practice Fax Number 6097992574
Mailing Telephone 6097991814
Mailing Fax Number 6097992574
Enumeration Date 2007-05-21
Last Update Date 2010-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
MA52823 NJ Allopathic & Osteopathic Physicians
N 208600000X Surgery 25MA05282300 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 54 MONTGOMERY ST
City PRINCETON JCT
State NJ
Zip Code 08550-1335

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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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1497090872 Health Sympl Inc. Family Medicine 2709 Route 130, Cranbury, NJ 08512-3137 2012-12-11
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Competitor

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City PRINCETON JCT
Zip Code 08550

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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