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Individual

DR. DONALD ANTHONY FANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
19 FRANKLIN PLACE, RUTHERFORD, NJ 07070-1707
(201) 460-0820
(201) 460-1272
Mailing address
19 FRANKLIN PLACE, RUTHERFORD, NJ 07070-1707
(201) 460-0820
(201) 460-1272

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01210500
NJ

Other

Enumeration date
12/27/2007
Last updated
12/27/2007
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