Active NPIIndividual provider

Dr. Frank Fanella Jr., MEDICAL DOCTOR

Pediatrics in New Milford, Connecticut

NPI Number1366449324
Practice location
120 Park Ln, Suite A-101, New Milford, CT 06776-2428
Fax
860-355-3856
Last updated
January 4, 2017

Frank Fanella is a Pediatrics based in New Milford, CT. Frank Fanella practices in New Milford, CT and has the professional credentials of MEDICAL DOCTOR. The NPI Number for Frank Fanella is 1366449324 and holds a License No. 035965 (CT). The current practice location address for Frank Fanella is 120 Park Ln, Suite A-101, New Milford, CT 06776-2428 and can be reached out via phone at 860-355-8190 and via fax at 860-355-3856.

Provider Profile Details

NPI Number
1366449324
Provider Name
Frank Fanella
Credential
MEDICAL DOCTOR
Provider Entity Type
Individual
Gender
Male
Address
120 Park Ln, Suite A-101, New Milford, CT 06776-2428
Phone Number
860-355-8190
Fax Number
860-355-3856
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 6, 2005
Last Update Date
January 4, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Park Ln
Suite A-101
New Milford, CT 06776-2428
Zip
06776-2428
Phone Number
860-355-8190
Fax Number
860-355-3856
New Milford, CT 06776Get directions →

Provider Business Mailing Address Details

Address
11 Mockingbird Ln
New Milford, CT 06776-3252
City
New Milford
State
CT
Zip
06776-3252
Phone Number
860-355-2625

License Information

License Number
035965
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Frank Fanella Jr., MEDICAL DOCTOR?

The NPI number of Dr. Frank Fanella Jr., MEDICAL DOCTOR is 1366449324. It was assigned on July 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Frank Fanella Jr., MEDICAL DOCTOR?

Dr. Frank Fanella Jr., MEDICAL DOCTOR is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 035965.

Where does Dr. Frank Fanella Jr., MEDICAL DOCTOR practice?

The practice location is 120 Park Ln, Suite A-101, New Milford, CT 06776-2428. The office can be reached at 860-355-8190 (phone) or 860-355-3856 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366449324 directly on the NPPES registry website.

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