Individual
MATTHEW GREGORY FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 ROUTE 220 HWY STE 205, MUNCY, PA 17756-7569
(570) 308-2564
(570) 308-2566
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28447
MS
207X00000X
Orthopaedic Surgery Physician
Primary
MD477177
PA
207X00000X
Orthopaedic Surgery Physician
MT210399
PA
Other
Enumeration date
03/26/2016
Last updated
09/14/2022
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