NPI 1275574311

Jonathan T Fanburg, MD

Practitioner Pediatric Adolescent Medicine Physician Falmouth, ME

Practice location

Address: 5 Bucknam Road Suite 1d, Falmouth, ME 04105-1208
Phone: (207) 781-1775
Fax: (207) 781-1780
Mailing address: 301c US Route 1, Scarborough, ME 04074-9701

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence MD14878 (ME)

Other Pediatrics providers in Maine →

Registry record

NPI: 1275574311
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2006
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.