IndividualActive
Michele Fantasia, MD
NPI 1447226261 · Pediatric Rehabilitation Medicine Physician · New Brunswick, NJ
Provider details
- NPI number
- 1447226261
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA06336800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Somerset St
New Brunswick, NJ 08901-1942
Phone: (732) 258-7000
Fax: (908) 301-5456
Approximate (ZIP-level) locationGet directions
Mailing address
150 New Providence Rd
Mountainside, NJ 07092-2590
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2010-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.