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1164403697
JOHN MICHAEL FANELLY
PHILADELPHIA, PA
NPI
1164403697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: PA SC002579L)
Enumeration Date
2005-11-10
Last Update Date
2009-12-07
Business Address
Dr. JOHN MICHAEL FANELLY DPM
6650 FRANKFORD AVE
PHILADELPHIA, PA 19135-2540
Phone number: 215-335-3338
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Mailing Address
Dr. JOHN MICHAEL FANELLY DPM
6650 FRANKFORD AVE
PHILADELPHIA, PA 19135-2540
Phone number: 215-335-3338
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