MR. Paul Joseph Fanucchi, NP
NPI #1003567447 in San Antonio, Texas
Provider Information
- NPI Number
- 1003567447
- Entity Type
- Individual
- Name
- MR. Paul Joseph Fanucchi, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Credential
- NP
- Enumeration Date
- Jan 18, 2022
- Last Updated
- Jan 18, 2022
Practice Location
- Address
- MARIANIST RESIDENCE
- Address 2
- 520 FONDHAM
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78228-4821
- Phone
- (210) 434-4157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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