Individual
DR. JOHN MICHAEL FANELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6650 FRANKFORD AVE, PHILADELPHIA, PA 19135-2540
(215) 335-3338
(215) 335-9844
Mailing address
6650 FRANKFORD AVE, PHILADELPHIA, PA 19135-2540
(215) 335-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002579L
PA
Other
Enumeration date
11/10/2005
Last updated
12/07/2009
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