Fanous, Venis F

Fanous, Venis F is an sole proprietor health care provider with primary practice located at 59 Brunswick Woods Dr , East Brunswick NJ 08816-5601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fanous, Venis F can be contacted via phone (732) 238-3883.

Contact Information

Primary practice address
59 Brunswick Woods Dr East Brunswick NJ 08816-5601
Fax: (732) 238-4826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA 41914 New Jersey

Profile Details

NPI number 1871594432
LBN Legal business name Fanous, Venis F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2005
Last updated Oct 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871594432 NPPES
Other 4058674 AETNA
MEDICAID 1304305 AETNA
Other 27614 AETNA

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