Individual
DR. JEFFREY M FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1817 HAMILTON AVE, SAN JOSE, CA 95725
(408) 264-1555
(408) 264-1562
Mailing address
1412 ARROYO SECO DR, CAMPBELL, CA 95008
(408) 559-4517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 8168 TPL
CA
Other
Enumeration date
04/14/2006
Last updated
05/25/2011
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