JOSEPH JR FANFAN

Dr JOSEPH JR FANFAN is a male medical professional, specializing in General Practice. He graduated in 1979.

Contact

2630 N ANDREWS AVE
WILTON MANORS
FL
333112550

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JOSEPH JR FANFAN Information

Npi 1265608616
Pac Id 2567518764
Professional Enrollment Id I20090915000378
Last Name FANFAN
First Name JOSEPH
Middle Name JR
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1979
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1 FAMILY MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties FAMILY MEDICINE
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2630 N ANDREWS AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WILTON MANORS
State FL
Zip Code 333112550
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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