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Jonathan T Fanburg, MD
Pediatric Adolescent Medicine Physician in Falmouth, Maine
NPI 1275574311

Jonathan T Fanburg is a Pediatric Adolescent Medicine Physician based in Scarborough, ME and is specialized in Adolescent Medicine. Jonathan T Fanburg practices in Falmouth, ME and has the professional credentials of MD. The NPI Number for Jonathan T Fanburg is 1275574311 and holds a License No. MD14878 (Maine).

The current practice location address for Jonathan T Fanburg is 5 Bucknam Road, Falmouth, ME and can be reached out via phone at 207-781-1775 and via fax at 207-781-1780. You can also correspond with Jonathan T Fanburg through the mailing address at 301C US ROUTE 1, SCARBOROUGH, ME - 04074-9701 (mailing address contact number: 207-396-8600).

Location: 5 Bucknam Road, Falmouth, ME, 04074-9701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275574311
Provider Name
Jonathan T Fanburg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5 Bucknam Road, Falmouth, ME, 04074-9701
Phone Number
207-781-1775
Fax Number
207-781-1780
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
282610099 05 ME
institution
Provider Business Practice Location Address Details
Address
5 Bucknam Road
City
Falmouth
State
Maine
Zip
04105-1208
Phone Number
207-781-1775
Fax Number
207-781-1780
person
Provider Business Mailing Address Details
Address
301C Us Route 1
City
Scarborough
State
Maine
Zip
04074-9701
Phone Number
207-396-8600
Fax Number
207-396-8632
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
MD14878 (Maine)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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