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Individual
DR. VENIS F FANOUS
Active
Individual
DR. VENIS F FANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA 41914
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304305
—
NJ
01
—
27614
UNITED
—
01
—
4058674
AETNA
—
Enumeration date
08/04/2005
Last updated
10/21/2023
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