Individual
DR. GILBERT JOSEPH FANCIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC SECTION OF PAIN MEDICINE, LEBANON, NH 03756-1000
(603) 650-6040
(603) 650-8199
Mailing address
1 MEDICAL CENTER DR, DHMC SECTION OF PAIN MEDICINE, LEBANON, NH 03756-1000
(603) 650-6040
(603) 650-8199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
9961
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE4393
—
VT
05
—
30010239
—
NH
Enumeration date
06/11/2006
Last updated
07/11/2011
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