Individual
ELENA FOFANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
570 N 23RD ST APT 7A, PHILADELPHIA, PA 19130-3159
(732) 492-3320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00962800
NJ
Other
Enumeration date
09/27/2019
Last updated
05/17/2021
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