Individual
DR. ALLISON S. FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
789 E. LANCASTER AVE., SUITE 10, VILLANOVA, PA 19085-1522
(484) 381-4010
(484) 381-4020
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB07748900
NJ
208000000X
Pediatrics Physician
Primary
OS013287
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102999050
—
PA
Enumeration date
05/03/2006
Last updated
12/09/2017
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