Individual
DR. FRANK FANELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
120 PARK LN, SUITE A-101, NEW MILFORD, CT 06776-2428
(860) 355-8190
(860) 355-3856
Mailing address
11 MOCKINGBIRD LN, NEW MILFORD, CT 06776-3252
(860) 355-2625
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035965
CT
Other
Enumeration date
07/06/2005
Last updated
01/04/2017
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