Individual
DR. GREGORY L FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
151 FRIES MILL RD, UNIVERSITY EXECUTIVE CAMPUS, SUITE 306, TURNERSVILLE, NJ 08012-2016
(856) 227-3340
(856) 227-7226
Mailing address
151 FRIES MILL RD, UNIVERSITY EXECUTIVE CAMPUS, SUITE 306, TURNERSVILLE, NJ 08012-2016
(856) 227-3340
(856) 227-7226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ3807
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022560601
—
NJ
Enumeration date
08/23/2005
Last updated
11/05/2024
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