Jonathan T Fanburg, MD

NPI #1275574311 in Falmouth, Maine

Provider Information

NPI Number
1275574311
Entity Type
Individual
Name
Jonathan T Fanburg, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics - Adolescent Medicine
Credential
MD
Enumeration Date
Jun 9, 2006
Last Updated
Jun 26, 2012

Practice Location

Address
5 BUCKNAM ROAD
Address 2
SUITE 1D
State
Maine
ZIP Code
04105-1208
Phone
(207) 781-1775

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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