Dr. Emily Rose Fennell, MD
Anesthesiology in Summit, NJ. Individual provider (NPI-1).
NPI number1164050951
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1164050951
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emily Rose Fennell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2020
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA12139800 | NJ | Yes |
Practice location
99 Beauvoir AveSummit, NJ 07901-3533
Phone 862-267-7519
Mailing address
99 Beauvoir AveSummit, NJ 07901-3533
Phone 862-267-7519
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