Individual
DR. BRYAN WILLIAM FENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 SHUNPIKE RD, SUITE 9, MADISON, NJ 07940-2740
(973) 660-0084
(973) 966-0332
Mailing address
8 SHUNPIKE RD, SUITE 9, MADISON, NJ 07940-2740
(973) 660-0084
(973) 966-0332
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06022900
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA06022900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6255809
—
NJ
Enumeration date
08/22/2006
Last updated
01/12/2010
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