Individual
DR. JAMES E FANALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
291 LINCOLN ST, WORCESTER, MA 01605-3643
(508) 334-6251
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42022
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067234
—
MA
Enumeration date
11/29/2005
Last updated
05/01/2022
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