National Provider Identifier Database

JONATHAN T FANBURG, MD – NPI #1275574311
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

JONATHAN T FANBURG, MD
5 BUCKNAM ROAD
SUITE 1D
FALMOUTH, ME04105-1208
Phone: 207-781-1775
Fax: 207-781-1780
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for JONATHAN T FANBURG

NPI Number 1275574311
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 06/26/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • ME License #: MD14878
  • ME Medicaid: 282610099
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JONATHAN T FANBURG, MD

There are currently no reviews for JONATHAN T FANBURG, MD


NPIdb - Home
v2.201