Dr. Anthony J Fedullo, M.D.
Internal Medicine, Pulmonary Disease in Rochester, NY. Individual provider (NPI-1).
NPI number1013962091
StatusActive
Last updated in NPPESNov 11, 2013
Details
- NPI
- 1013962091
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony J Fedullo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Nov 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 126101 | NY | Yes |
Practice location
1425 Portland AveRochester, NY 14621-3001
Phone 585-922-4409 · Fax 585-922-4833
Mailing address
1425 Portland AveBox 242
Rochester, NY 14621-3001
Phone 585-922-4409 · Fax 585-922-4833
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