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Individual

JOHN V. FENICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2601 ANNAND DR, SUITE 4, WILMINGTON, DE 19808-3719
(302) 998-3334
(302) 998-8985
Mailing address
2601 ANNAND DR, SUITE 4, WILMINGTON, DE 19808-3719
(302) 998-3334
(302) 998-8985

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA79983
NJ
207Q00000X
Family Medicine Physician
Primary
C1-0007714
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0091111
NJ
01
222137644
BCBSNJ
NJ
01
900000011100
AMERICHOICE
NJ
Enumeration date
07/19/2006
Last updated
03/30/2023
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