John M Fanning DO

NPI 1053494435 - Family Medicine - 207Q00000X

NPI Details
NPI 1053494435
Gender Male
Enumeration Date 10/23/2006
Last Updated 09/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
8 MORTON AVE
SUITE 303
RIDLEY PARK PA, 19078-2210, US
Phone (610) 595-6850
Fax (610) 595-6892
Business Location
8 MORTON AVE
SUITE 303
RIDLEY PARK PA, 19078-2210, US
Phone (610) 595-6850
Fax (610) 595-6892
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS003967L
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According to our database, Dr. John M Fanning DO NPI is 1053494435, taxonomy code is 207Q00000X and license number is OS003967L, license state is located at Pennsylvania. John M Fanning DO physically located at 8 Morton Ave, Ridley Park PA, 19078-2210. NPI Number John M Fanning DO has the Individual type.

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1053494435 NPI number is provided on an as is basis without warranty of any kind. 1053494435 is maintained by the National Plan & Provider Enumeration System. The contents of John M Fanning DO are for informational purposes only.