National Provider Identifier
Anthony J Fedullo, M.D.
Anthony J Fedullo, M.D. is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Rochester, NY and a listed phone number of (585) 922-4409.
Source: public NPPES record, last updated November 11, 2013. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1013962091
- Provider Type
- Individual
- Primary Specialty
- Pulmonary Disease Physician
- Enumeration Date
- May 24, 2006
- Last Updated
- November 11, 2013
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4409
Mailing Address
- 1425 Portland Ave
- Box 242
- Rochester, NY 14621-3001
Specialties
- Pulmonary Disease Physician (207RP1001X)
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Full Record
- NPI
- 1013962091
- Entity Type
- Individual
- Last Name
- Fedullo
- First Name
- Anthony
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1425 Portland Ave
- Mailing Address Line 2
- Box 242
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4409
- Mailing Fax
- (585) 922-4833
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4409
- Practice Fax
- (585) 922-4833
- Enumeration Date
- May 24, 2006
- Last Updated
- November 11, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pulmonary Disease Physician (207RP1001X)
- Other Identifiers
- 00469365 (NY)