George Fanous

NPI #1154716173 in Cliffside Park, New Jersey

Provider Information

NPI Number: 1154716173
Entity Type: Individual
Name: George Fanous
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 6, 2015
Last Updated: Apr 6, 2015

Practice Location

Address: 729 ANDERSON AVE
City: Cliffside Park
State: New Jersey
ZIP Code: 07010-2032
Phone: (201) 943-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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