DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW JOSEPH FANELLI, M.D.

Active Sole Proprietor

MATTHEW JOSEPH FANELLI, M.D. is a Dermatology healthcare provider located in FISHERSVILLE, Virginia. NPI 1568789279 is currently active in the NPPES registry. Verify at CMS.

Dermatology · FISHERSVILLE, VA

Registration Details

NPI Number
1568789279
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2010 (16.346746220762 yrs)
Last Updated
Aug 11, 2022
Licenses
71653-20 (WI)
036.137205 (IL)
51923 (SC)
0101276020 (VA)
Sole Proprietor
Yes

Practice Information

Address
66 PARKWAY LN STE 101A
FISHERSVILLE, VA, 229392385
Browse VA providers · Browse ZIP 22939
Phone
5404512833
Fax
5404512837
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Dermatology
Additional Specialty
Dermatology

Other Dermatology Providers in FISHERSVILLE, VA

Name Credential NPI
KRISTEN LETSON SAVOLA MD 1720130941
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.