Individual
DR. JOSEPH JOHN FANUCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
943 INA DR, ALAMO, CA 94507-1349
(925) 820-7758
Mailing address
943 INA DR, ALAMO, CA 94507-1349
(925) 820-7758
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G38864
CA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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