MICHELLE FANOUS

BRICK, NJ
NPI1558598292
Former NameMICHELLE SHAROBEEM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NJ  25MB09538400)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: PA  OT012883&OS015355)
207Q00000X Family Medicine
(Licence: NJ  25MB09538400)
207Q00000X Family Medicine
(Licence: PA  OS015355&OT012883)
Enumeration Date2009-06-21
Last Update Date2025-06-24
Business Address
Mrs. MICHELLE FANOUS D.O.
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-397-8630
Mailing Address
Mrs. MICHELLE FANOUS D.O.
14 ALEXIS DR
FARMINGDALE, NJ 07727-3648
Phone number: 732-397-8630