Individual
JASON C FANUELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 ROCHE BROS. WAY, NORTH EASTON, MA 02356
(781) 344-3535
(508) 535-0192
Mailing address
PO BOX 30, STOUGHTON, MA 02702-0030
(781) 344-3535
(508) 535-0192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12933
NH
207X00000X
Orthopaedic Surgery Physician
Primary
230954
MA
207X00000X
Orthopaedic Surgery Physician
RT 1069
NH
Other
Enumeration date
09/19/2006
Last updated
11/26/2008
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