J ANDREW FANTL GYNECOLOGY PC NPI 1679653448

NPI Information

J ANDREW FANTL GYNECOLOGY PC is a gynecology obstetrics gynecology in Smithtown, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee J ANDREW FANTL GYNECOLOGY PC NPI is 1679653448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 MIDDLE COUNTRY RD
SUITE 203
SMITHTOWN, NY
ZIP 11787
Phone: (631) 979-2842
Fax: (631) 979-2845

The provider's authorized official is John Andrew Fantl .
The authorized official title is Doctor President and has the following contact phone number (631) 979-2842.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 5/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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