NPI 1750650859
Marissa Anne Fanelli, RDH
Practice location
- Address
- 741 Broadway, Newark, NJ 07104-4309
- Phone
- (973) 483-1300
- Fax
- (973) 483-3787
- Mailing address
- 430 Edgewood Pl, Rutherford, NJ 07070-2662
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1750650859
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Dec 2011
- Record last updated
- 19 Dec 2011
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.