John Patrick Fantauzzi M.D.

NPI 1649442070 - Radiology - 2085R0202X

NPI Details
NPI 1649442070
Gender Male
Enumeration Date 03/26/2008
Last Updated 01/18/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
711 TROY SCHENECTADY RD
SUITE 201
LATHAM NY, 12110-2442, US
Phone (518) 782-3700
Fax (518) 782-3799
Business Location
711 TROY SCHENECTADY RD
SUITE 203
LATHAM NY, 12110-2442, US
Phone (518) 782-3700
Fax (518) 782-3799
Toxanomy
Taxonomy Code 2085R0202X
License State Maryland
License Number D0066858
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According to our database, Dr. John Patrick Fantauzzi M.D. NPI is 1649442070, taxonomy code is 2085R0202X and license number is D0066858, license state is located at Maryland. John Patrick Fantauzzi M.D. physically located at 711 Troy Schenectady Rd, Latham NY, 12110-2442. NPI Number John Patrick Fantauzzi M.D. has the Individual type.

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1649442070 NPI number is provided on an as is basis without warranty of any kind. 1649442070 is maintained by the National Plan & Provider Enumeration System. The contents of John Patrick Fantauzzi M.D. are for informational purposes only.