Organization
SOUTH JERSEY RADIATION ONCOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WILLIAM FANELLE MD (PRESIDENT)
(856) 641-7926
Entity
Organization
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-7920
(856) 641-7915
Mailing address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-7920
(856) 641-7915
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8214808
—
NJ
Enumeration date
07/26/2005
Last updated
07/21/2022
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