Individual
DR. JOHN A FANOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822
(908) 300-3700
Mailing address
PO BOX 622, FRANKLIN LAKES, NJ 07417-0622
(908) 300-3700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB10005200
NJ
Other
Enumeration date
04/12/2012
Last updated
10/09/2024
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