Individual
STEPHEN MICHAEL FANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3580
(302) 644-1475
Mailing address
35775 CUTTER CT, LEWES, DE 19958-5018
(302) 645-3580
(302) 644-4651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000222901
—
DE
Enumeration date
12/20/2006
Last updated
07/08/2007
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