Individual
MR. JOHN ANDREW FANTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E FRNT 2E, NEW YORK, NY 10003-3314
(212) 844-8521
Mailing address
PO BOX 95000-2428, PHILADELPHIA, PA 19195-2428
(212) 844-8521
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
1988811
NY
Other
Enumeration date
02/08/2006
Last updated
05/27/2014
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