JONATHAN T FANBURG

FALMOUTH, ME
NPI1275574311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: ME  MD14878)
Enumeration Date2006-06-09
Last Update Date2012-06-26
Business Address
-- JONATHAN T FANBURG MD
5 BUCKNAM ROAD SUITE 1D
FALMOUTH, ME 04105-1208
Phone number: 207-781-1775
Mailing Address
-- JONATHAN T FANBURG MD
301C US ROUTE 1
SCARBOROUGH, ME 04074-9701
Phone number: 207-396-8600
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