Individual
GEORGE FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
729 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-2032
(201) 943-2225
Mailing address
6509 68TH AVE, RIDGEWOOD, NY 11385-4652
(646) 552-7272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03416600
NJ
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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