| NPI | 1689059453 |
|---|---|
| Doing Business As | JOSEPH FANFAN JR MD PA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH FANFAN President 954-525-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME43065) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2016-05-09 |