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1841263225
JOHN ANDREW FANTL
NEW YORK, NY
NPI
1841263225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NY 1988811)
Enumeration Date
2006-02-08
Last Update Date
2014-05-27
Business Address
Mr. JOHN ANDREW FANTL MD
10 UNION SQ E FRNT 2E
NEW YORK, NY 10003-3314
Phone number: 212-844-8521
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Mailing Address
Mr. JOHN ANDREW FANTL MD
PO BOX 95000-2428
PHILADELPHIA, PA 19195-2428
Phone number: 212-844-8521
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