Individual
DR. NABIL I FANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
144 BRETTON RD, WEST SPRINGFIELD, MA 01089-2110
(413) 736-4951
Mailing address
144 BRETTON RD, WEST SPRINGFIELD, MA 01089-2110
(413) 736-4951
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33548
MA
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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