Individual
MR. BRIAN D FANNING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ACI, ATC
Contact information
Practice address
22 WOOD DUCK CT, HACKETTSTOWN, NJ 07840-3312
(973) 229-6280
(973) 353-1431
Mailing address
22 WOOD DUCK CT, HACKETTSTOWN, NJ 07840-3312
(973) 229-6280
(973) 353-1431
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00122800
NJ
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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