Individual
MARY-JEAN FANELLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL, NEWTON, MA 02462-1607
(617) 243-6565
(617) 243-6981
Mailing address
116 HIGHLAND ST, WEST NEWTON, MA 02465-2406
(617) 969-2793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55348
MA
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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