Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN T FANBURG, MD
ActiveJONATHAN T FANBURG, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in FALMOUTH, Maine. NPI 1275574311 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · FALMOUTH, ME
Registration Details
- NPI Number
- 1275574311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.209624696765 yrs)
- Last Updated
- Jun 26, 2012
- License
-
MD14878 (ME)
Practice Information
- Address
-
5 BUCKNAM ROADSUITE 1DFALMOUTH, ME, 041051208Browse ME providers · Browse ZIP 04105
- Phone
- 2077811775
- Fax
- 2077811780
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.