Search › New Jersey › 207P00000X
Michelle Fanous, D.O
NPI 1558598292 · on the registry since 2009
Practice
- Address
- 425 Jack Martin Blvd
Brick, NJ 08724 - Phone
- (732) 397-8630
- Fax
- (201) 365-5287
- Organisation at this address
- Meridian
Meridian Hospitals
Hackensack Meridian
Qkhanmd Services Llc
Ocean Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 323
Additional practice sites
- Red Lion & Knights Roads, Philadelphia, PA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207Q00000X
207Q00000X - Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey