Individual
JOEL FANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
777 CLINTON AVE S, ROCHESTER, NY 14620-1448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D96896
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
11/27/2023
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