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1326036245
MICHELE FANTAZZIO
CAMDEN, NJ
NPI
1326036245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NJ 25MA07253200)
Enumeration Date
2005-10-13
Last Update Date
2020-09-29
Business Address
Dr. MICHELE FANTAZZIO M.D
2 COOPER PLZ
CAMDEN, NJ 08103-1461
Phone number: 855-632-2667
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Mailing Address
Dr. MICHELE FANTAZZIO M.D
1 FEDERAL ST # 200
CAMDEN, NJ 08103-1088
Phone number: 856-356-4924
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