Individual
DR. JOSEPH WILLIAM FANELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(568) 641-7920
(856) 641-8689
Mailing address
184 FIELD LOOP, GLASSBORO, NJ 08028-3292
(609) 501-7489
(856) 575-5012
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA05181300
NJ
2085R0001X
Radiation Oncology Physician
MD042008E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5050804
—
NJ
Enumeration date
07/22/2005
Last updated
06/07/2024
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